Individual
DANA STOCKSLAGER FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1302 SC HWY 72 W BUSINESS, GREENWOOD, SC 29649
(864) 229-5885
Mailing address
4020 ELNORA DR, MACON, GA 31210-1823
(478) 477-1228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10715
SC
Other
Enumeration date
06/02/2021
Last updated
06/12/2024
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