Individual
NICHOLAS B COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1091 BARBER CREEK RD, STATHAM, GA 30666-3153
(678) 325-8912
Mailing address
1091 BARBER CREEK RD, STATHAM, GA 30666-3153
(770) 855-4434
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
13201
NC
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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