Organization
PEARLS OF HEALTH MEDICAL AND DENTAL, LLC
Active
Organization
PEARLS OF HEALTH MEDICAL AND DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KAREN NICOME MD (MEMBER/MANAGER)
(770) 306-4457
Entity
Organization
Contact information
Practice address
7580 SPRINGBOX DR, SUITE 250, FAIRBURN, GA 30213-1287
(770) 306-4457
(770) 774-7218
Mailing address
7580 SPRINGBOX DR, SUITE 250, FAIRBURN, GA 30213-1287
(770) 306-4457
(770) 774-7218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/29/2011
Last updated
12/20/2012
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