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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GOFS STOCKBRIDGE

Active Organization

GOFS STOCKBRIDGE is a Oral & Maxillofacial Surgery (Physician) organization located in STOCKBRIDGE, Georgia. NPI 1114425964 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · STOCKBRIDGE, GA

Registration Details

NPI Number
1114425964
Provider Type
Organization
NPI Issued
Jan 26, 2018 (8.5789729118493 yrs)
Last Updated
Jan 26, 2018
License
DN014207 (GA)

Practice Information

Address
225 COUNTRY CLUB DR
#110
STOCKBRIDGE, GA, 30281
Browse GA providers · Browse ZIP 30281
Phone
6789059066
Fax
6784014725
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.