Individual
DR. TARHONDA LEAH INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
112 VILSECK ROAD, BLDG. 419-2, FT. STEWART, GA 31315
(912) 257-7056
(912) 257-7055
Mailing address
1061 HARMON AVE, US ARMY DENTAL HEALTH ACTIVITY, FORT STEWART, GA 31314-5641
(912) 435-7006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014799
GA
Other
Enumeration date
07/17/2014
Last updated
11/20/2018
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