Individual
DR. JERRY EUGENE NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1545 POWERS FERRY RD SE, 220, MARIETTA, GA 30067-9412
(770) 980-9404
(770) 951-8773
Mailing address
217 MAIN ST, DESTIN, FL 32541-2503
(850) 837-0696
(866) 666-9712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008291
GA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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