Individual
THOMAS HUGHES FUQUA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5278
AL
Other
Enumeration date
05/21/2007
Last updated
08/08/2016
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