Jeanie Harper
Individual provider Active NPI Dental Hygienist · Fitzgerald, GA
NPI 1073676573 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073676573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 6067 (GA)
- Practice address
- 171 Perry House Rd
PO Drawer 1009
Fitzgerald, GA 31750-8837 - Phone
- (229) 423-9237
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6067 | GA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne S. Maris, DDS, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6067 | GA | Yes |
Addresses
Primary practice location
171 Perry House Rd
PO Drawer 1009
Fitzgerald, GA 31750-8837
Mailing address
171 Perry House Rd
PO Drawer 1009
Fitzgerald, GA 31750-8837
Phone (229) 423-9237
Other providers in Fitzgerald, GA
- Kenneth Andrew Gilbert
- Robin Alisha Glover
- Alicia Gordon
- Beverly Denise Graham
- Thomas A Green
- Martha Harrell
- Cali Michelle Hart
- Hillary D Heitzman
- Helping Hands Non Emergency Transport LLC
- Earl R.. Henderson
All providers in Fitzgerald, GA · Dental Hygienist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.