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Contact Information

ELIANNA M LARGEMAN
3808 GENTIAN BLVD
COLUMBUS, GA31907-1147
 Phone: 706-322-6581
 Fax: 706-571-8744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for ELIANNA M LARGEMAN · (Female)

NPI Number 1194452920
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2022
Last updated 08/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # DN122814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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