Individual
MRS. EMELI ELEYN BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
428 SENTRY OAK DR, CENTERVILLE, GA 31028-1200
(478) 365-0184
Mailing address
428 SENTRY OAK DR, CENTERVILLE, GA 31028-1200
(478) 365-0184
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH043518
GA
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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