Individual
PEGGY P EMBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
(706) 657-5885
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 657-7575
(706) 657-5885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010437
GA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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