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LINDA BURKS AGEE DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1275674012

Individual Registrant:
 LINDA BURKS AGEE DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1201 NOTASULGA ROAD  TUSKEGEE, AL 36083-7115 US
Tel: 334-727-7211  Fax: --

Contact information for business:
1201 NOTASULGA ROAD  TUSKEGEE, AL 36083-7115 US
Tel: 334-727-7211  Fax: --

Registration Information:
NPI: 1275674012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AL3830

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
149318AL05
BLUE CROSS511-36354AL01




HEALTH CARE JOBS AL - Page 1



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