Individual
LINDA BURKS AGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1201 NOTASULGA ROAD, TUSKEGEE, AL 36083-7115
(334) 727-7211
Mailing address
1201 NOTASULGA ROAD, TUSKEGEE, AL 36083-7115
(334) 727-7211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3830
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149318
—
AL
01
—
511-36354
BLUE CROSS
AL
Enumeration date
02/12/2007
Last updated
08/06/2016
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