MEDICARE: DR. NARISA A. CRAMER D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	11773	GA

General Provider Information

NPI Number	:	1073691267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARISA A. CRAMER D.M.D.

Provider Business Mailing Address
First Line	:	4450 CALIBRE XING NW STE 1206
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-4104
Country	:	US
Telephone Number	:	470-531-3636
Fax Number	:	470-531-3531

Provider Business Practice Location Address
First Line	:	4450 CALIBRE XING NW STE 1206
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-4104
Country	:	US
Telephone Number	:	470-531-3636
Fax Number	:	470-531-3531

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	10/16/2020

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