Individual
DR. ERIC JEROME ECHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1108 BULLSBORO DR, SUITE G, NEWNAN, GA 30265-2190
(678) 423-0100
(678) 423-9004
Mailing address
74 SMOKERISE PT, PEACHTREE CITY, GA 30269-4069
(770) 486-5749
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011542
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578542197
NPI
GA
Enumeration date
01/12/2006
Last updated
07/09/2007
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