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JEANIE HARPER
>> Dental Hygienist >> Dental ProvidersRegistrant NPI Number: 1073676573
Individual Registrant: JEANIE HARPER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
171 PERRY HOUSE RD PO DRAWER 1009 FITZGERALD, GA 31750-8837 US
Tel: 229-423-9237 Fax: --
Tel: 229-423-9237 Fax: --
Contact information for business:
171 PERRY HOUSE RD PO DRAWER 1009 FITZGERALD, GA 31750-8837 US
Tel: 229-423-9237 Fax: --
Tel: 229-423-9237 Fax: --
Registration Information:
NPI: 1073676573
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Providers Dental Hygienist | GA | 6067 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
