Individual
MRS. ROSIE REDDICK BURROUGHS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
715 N LEE ST, AMERICUS, GA 31719-3043
(229) 928-0545
Mailing address
PO BOX 1717, 715 N LEE ST, AMERICUS, GA 31709-1717
(229) 928-0545
(229) 928-2567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9146
GA
Other
Enumeration date
08/29/2005
Last updated
07/08/2007
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