Individual
MEGAN ELIZABETH KAFITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4212
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4212
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH043449
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH043449
DENTAL HYGIENE LICENCE
GA
Enumeration date
10/08/2021
Last updated
10/08/2021
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