Individual
DR. NATHANIEL CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
50 COMMUNITY SQUARE BLVD, VILLA RICA, GA 30180-1731
(770) 459-1663
Mailing address
50 COMMUNITY SQUARE BLVD, VILLA RICA, GA 30180-1731
(770) 459-1663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6333-C1
AL
1223G0001X
General Practice Dentistry
Primary
DN015278
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2016
Last updated
03/07/2019
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