| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730214735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011541 (Georgia) | Primary |
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