Individual
DR. ELLENE NOELL CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1450 GREENE ST APT 310, AUGUSTA, GA 30901-5203
(706) 364-9966
Mailing address
1450 GREENE ST APT 310, AUGUSTA, GA 30901-5203
(706) 364-9966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN013343
GA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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