Individual
ALEXA CUELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2271 MEMORIAL DR, WAYCROSS, GA 31501-0902
(912) 550-4124
Mailing address
6431 OLD 122 HIGHWAY E., MANOR, GA 31550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122751
GA
Other
Enumeration date
03/29/2022
Last updated
12/05/2022
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