Individual
KAREN TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7770 SIGHTSEEING RD, BLDG 2828, FORT BENNING, GA 31905
(706) 545-3956
Mailing address
7770 SIGHTSEEING RD, BLDG 2828, FORT BENNING, GA 31905
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11317
KS
124Q00000X
Dental Hygienist
5689
TN
124Q00000X
Dental Hygienist
7795
AL
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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