Individual
ERICA J. BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Mailing address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH010290
GA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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