Durham, Tracy Ellen
Durham, Tracy Ellen is an individual health care provider with primary practice located at 145 Traders Way Suite D, Pooler GA 31322-6005. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Durham, Tracy Ellen can be contacted via phone (912) 748-4494.Contact Information
Primary practice address
145 Traders Way Suite D
Pooler GA 31322-6005
Phone: (912) 748-4494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN011541 | Georgia |
Profile Details
| NPI number | 1366577322 |
|---|---|
| LBN Legal business name | Durham, Tracy Ellen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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