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Individual

DR. WILLIAM CHAD FUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1108 MADISON AVE N, DOUGLAS, GA 31533-2802
(912) 384-4432
(912) 383-6452
Mailing address
1108 MADISON AVE N, DOUGLAS, GA 31533-2802
(912) 384-4432
(912) 383-6452

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012768
GA

Other

Enumeration date
06/25/2008
Last updated
06/25/2008
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