Individual
DR. DEBORAH YOUNG MAKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1119 DRUID PARK AVE, AUGUSTA, GA 30904
(706) 737-6453
(706) 737-2006
Mailing address
PO BOX 2747, 1119 DRUID PARK AVE, AUGUSTA, GA 30904
(706) 737-6453
(706) 737-2006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00219711B
—
GA
05
—
00219711C
—
GA
Enumeration date
08/04/2006
Last updated
07/08/2007
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