Organization
JERRY E NUTT DDS & ASSOC OF DOUGLASVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA BRIDGES (OFFICE MANAGER)
(770) 489-6735
Entity
Organization
Contact information
Practice address
8505 HOSPITAL DR, SUITE 7 & 8, DOUGLASVILLE, GA 30134-2414
(770) 489-6735
Mailing address
8505 HOSPITAL DR, SUITE 7 & 8, DOUGLASVILLE, GA 30134-2414
(770) 489-6735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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