Individual
GEORGIA DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1808 S FRONTAGE RD STE 1, VICKSBURG, MS 39180-5263
(601) 661-8326
Mailing address
1808 SOUTH FRONTAGE ROAD, SUITE 1, VICKSBURG, MS 39180-5263
(601) 661-8326
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
MS
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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