Bohannon, Debra Ann

Bohannon, Debra Ann is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Bohannon, Debra Ann can be contacted via phone (912) 977-3774.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X Georgia

Profile Details

NPI number 1861844193
LBN Legal business name Bohannon, Debra Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Jul 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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