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Individual

MRS. DEBORAH J TRAMMELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
034729
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00616635A
PEACHSTATE
GA
05
00616635A
GA
01
220013301
RAILROAD MEDICARE
GA
01
591087
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/14/2005
Last updated
02/07/2015
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