Individual
NANCY ALEXANDRIA DOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(863) 558-7005
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99066
GA
Other
Enumeration date
06/03/2021
Last updated
07/03/2024
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