Individual
DR. JUANITA SHIRLEY ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
400 MCDONOUGH PKWY, MCDONOUGH, GA 30253-8946
(770) 957-5214
Mailing address
400 MCDONOUGH PKWY, MCDONOUGH, GA 30253-8946
(770) 957-5214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750112165A
—
GA
Enumeration date
08/30/2006
Last updated
08/19/2020
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