Individual
DR. ADAM RANDAL LINCICUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
228 E HOSPITAL RD BLDG 320, FORT GORDON, GA 30905-6011
(706) 787-6927
(706) 787-2082
Mailing address
228 E HOSPITAL RD BLDG 320, FORT GORDON, GA 30905-6011
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN18736
FL
Other
Enumeration date
07/27/2009
Last updated
03/02/2023
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