Tracy E. Durham Dds Pc | |
145 Traders Way Suite D Pooler GA 31322-6005 | |
(912) 748-4494 | |
Not Available |
Full Name | Tracy E. Durham Dds Pc |
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Speciality | Dentist - General Practice |
Location | 145 Traders Way, Pooler, Georgia |
Authorized Official Name and Position | Tracy Ellen Durham (PRESIDENT) |
Authorized Official Contact | 9127484494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tracy E. Durham Dds Pc 145 Traders Way Suite D Pooler GA 31322-6005 Ph: (912) 748-4494 | Tracy E. Durham Dds Pc 145 Traders Way Suite D Pooler GA 31322-6005 Ph: (912) 748-4494 |
NPI Number | 1730214735 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1730214735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN011541 (Georgia) | Primary |
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