SAMUEL E DEATHERAGE

ATHENS, AL
NPI1073686424
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AL  5983)
Enumeration Date2006-11-15
Last Update Date2013-04-17
Business Address
-- SAMUEL E DEATHERAGE DMD
110 COLLEGE ST SUITE D
ATHENS, AL 35611-2714
Phone number: 256-232-0789
Mailing Address
-- SAMUEL E DEATHERAGE DMD
110 COLLEGE ST SUITE D
ATHENS, AL 35611-2714
Phone number: 256-232-0789
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