Individual
DR. MICHAEL WADE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
614 W MAIN ST, MANCHESTER, GA 31816-1542
(706) 441-0405
Mailing address
614 W MAIN ST, MANCHESTER, GA 31816-1542
(706) 441-0405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014979
GA
Other
Enumeration date
07/13/2015
Last updated
11/13/2018
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