Individual
MRS. LAURA HAWKINS HISSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5420 PAULSEN STREET, SAVANNAH, GA 31405
(912) 777-5767
(912) 777-5773
Mailing address
5420 PAULSEN STREET, SAVANNAH, GA 31405
(912) 777-5767
(912) 777-5773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013433
GA
Other
Enumeration date
09/24/2010
Last updated
01/09/2014
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