Individual
TAMMY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 HOFF RD BUILDING 9240, FT. BENNING, GA 31909
(706) 544-2051
Mailing address
701 HOFF RD, FT. BENNING, GA 31909
(706) 544-2051
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
GA
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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