Organization
DEBORAH YOUNG MAKERSON DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH YOUNG MAKERSON DMD (OWNER)
(706) 951-2727
Entity
Organization
Contact information
Practice address
414 HIGHWAY 25 S, MILLEN, GA 30442-5263
(478) 982-2789
(478) 982-3397
Mailing address
PO BOX 925, MILLEN, GA 30442-0925
(478) 982-2789
(478) 982-3397
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000219711B
—
GA
05
—
000219711C
—
GA
Enumeration date
06/14/2012
Last updated
06/14/2012
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