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Individual

MRS. TRACIE WILLIAMS-LEGETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4823 ROSEHILL RD, FAYETTEVILLE, NC 28311-6938
(910) 482-4442
Mailing address
PO BOX 671, FAYETTEVILLE, NC 28302-0671
(910) 644-9927

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7196
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-9013
NC
Enumeration date
06/19/2006
Last updated
10/13/2023
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