Individual
DR. TAWANNA MICHELLE MCGHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
21ST STREET, BLDG 2441, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Mailing address
21ST STREET, BLDG 2441, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
012157
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8474
TN
Other
Enumeration date
02/17/2006
Last updated
03/29/2013
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