Organization
NORTH GEORGIA ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M NADLER (OWNER)
(770) 591-9555
Entity
Organization
Contact information
Practice address
6304 OLD HIGHWAY 5, SUITE 102, WOODSTOCK, GA 30188-2443
(770) 591-9555
(770) 591-9595
Mailing address
6304 OLD HIGHWAY 5, SUITE 102, WOODSTOCK, GA 30188-2443
(770) 591-9555
(770) 591-9595
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
054425
GA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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