Individual
DR. TAMMY ELIZABETH GRAHAM-FORTUNE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9001 GALENE DR, LOUISVILLE, KY 40299-1521
(502) 267-8176
(502) 267-8177
Mailing address
9001 GALENE DR, LOUISVILLE, KY 40299-1521
(502) 267-8176
(502) 267-8177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7279
KY
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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