Individual
DR. DONALD BRYCE NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
105 S LAUREL ST, SPRINGFIELD, GA 31329-9255
(912) 754-6822
(912) 754-4368
Mailing address
105 S LAUREL ST, SPRINGFIELD, GA 31329-9255
(912) 754-6822
(912) 754-4368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO12543
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687448
UNITED CONCORDIA
GA
01
—
9184109
DORAL
GA
Enumeration date
11/13/2006
Last updated
07/09/2007
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