Individual
MS. RENEE G FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
75 N LEXINGTON CT, ELLERSLIE, GA 31807-5362
(706) 536-9240
Mailing address
75 N LEXINGTON CT, ELLERSLIE, GA 31807-5362
(706) 536-9240
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
123456789
GA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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