Individual
MS. DEBRA A MCCOLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
427 MATTHEWS AVE, CARROLLTON, GA 30117-3753
(770) 830-6821
Mailing address
427 MATTHEWS AVE, CARROLLTON, GA 30117-3753
(770) 830-6821
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009621
GA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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