Douglas, Tracey Lamar
Douglas, Tracey Lamar is an individual health care provider with primary practice located at 204 Waterford Sq , Madison MS 39110-6856. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Douglas, Tracey Lamar can be contacted via phone (601) 856-3182.Contact Information
Primary practice address
204 Waterford Sq
Madison MS 39110-6856
Phone: (601) 856-3182
Fax: (601) 856-9120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3035-98 | Mississippi |
Profile Details
| NPI number | 1881751584 |
|---|---|
| LBN Legal business name | Douglas, Tracey Lamar |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 3rd, 2009 - about 15 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.
Popular Providers
-
Fortenberry, William Coleman
7731 Old Canton Rd Ste A , Madison MS 39110-6115 -
Grissom, Heatherly Henson
1896 Main St Suite B, Madison MS 39110-7676 -
Smith, Richard L.
445 Fairfield Dr , Madison MS 39110-8597 -
Carlisle, Sarah Crisler
306 Fountains Dr , Madison MS 39110-6384 -
Deshazo, Holly Mclaurin
348 Saint Ives Dr , Madison MS 39110-7182 -
Lee, Kimberly Nicole
105 Broadmoor Dr , Madison MS 39110-6651 -
Mcinteer, Braden
1896 Main St Ste B, Madison MS 39110-7676 -
King Laxson, Jennifer
1085 Gluckstadt Rd , Madison MS 39110-9456