Individual
HARRISON ELLIOTT WILLIAMS DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
654 BRAINARD AVE, FORT EISENHOWER, GA 30905-5813
(706) 787-7050
Mailing address
680 CRANE CREEK DR APT 828, AUGUSTA, GA 30907-3099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11187
SC
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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