Individual
DANIELLE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25501 BRAINARD AVE, FORT GORDON, AUGUSTA, GA 30905
(706) 787-7050
Mailing address
2328 PEACH BLOSSOM PASS, HEPHZIBAH, GA 30815-7201
(912) 441-1932
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012163
GA
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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