Individual
DR. WILLIAM WAYNE CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 38717 38 ST., ATTN: CREDENTIALS OFFICE, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
BLDG 38717 38 ST., ATTN: CREDENTIALS OFFICE, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006643
VA
Other
Enumeration date
12/01/2005
Last updated
08/08/2014
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