Individual
AURELIA VANDERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 TOM HILL SR BLVD, SUITE B, MACON, GA 31210-1817
(478) 654-3111
Mailing address
205 TOM HILL SR BLVD, SUITE B, MACON, GA 31210-1817
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN014507
GA
Other
Enumeration date
07/07/2009
Last updated
01/18/2017
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