Organization
JEFFREY T NUGENT, MD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TARDIF (CREDENTIALING MANAGER)
(770) 801-2526
Entity
Organization
Contact information
Practice address
105 COLLIER RD NW, STE 2010, ATLANTA, GA 30309-1710
(404) 367-1404
Mailing address
PO BOX 102847, ATLANTA, GA 30368-2847
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
012536
GA
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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