Individual
DR. REGINALD L MAKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1119 DRUID PARK AVE, AUGUSTA, GA 30904-5849
(706) 737-6453
Mailing address
1119 DRUID PARK AVE, AUGUSTA, GA 30904-5849
(706) 737-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015035
GA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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