Organization
JERRY E NUTT DDS & ASSOC OF LAWRENCEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CHATHAM (DISTRICT MANAGER)
(770) 338-1963
Entity
Organization
Contact information
Practice address
1699 DULUTH HWY, LAWRENCEVILLE, GA 30043-5010
(770) 338-1963
(770) 338-8626
Mailing address
1699 DULUTH HWY, LAWRENCEVILLE, GA 30043-5010
(770) 338-1963
(770) 338-8626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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