Individual
DR. NICHOLAS V ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11079 COLUMBIA ST, BLAKELY, GA 39823-3447
(229) 724-7300
(229) 724-7355
Mailing address
PO BOX 470, BLAKELY, GA 39823-0470
(229) 724-7300
(229) 724-7355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012547
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100913
AVESIS
GA
01
—
9183886
DORAL USA
GA
Enumeration date
11/09/2006
Last updated
07/08/2007
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