MATTHEW FUQUA

MACON, GA
NPI1417685694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: GA  DN122727)
Enumeration Date2022-08-15
Last Update Date2022-08-15
Business Address
MATTHEW FUQUA
4020 ELNORA DR
MACON, GA 31210-1823
Phone number: 478-477-1228
Mailing Address
MATTHEW FUQUA
4020 ELNORA DR
MACON, GA 31210-1823
Phone number: 478-477-1228
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