George Augustus Nelson III D.M.D.

NPI 1053393694 - Dentist - 1223X0400X

NPI Details
NPI 1053393694
Gender Male
Enumeration Date 11/18/2005
Last Updated 02/09/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4643 CAMP COLEMAN RD
SUITE 101
TRUSSVILLE AL, 35173-2821, US
Phone (205) 655-0603
Fax (205) 655-0693
Business Location
4643 CAMP COLEMAN RD
SUITE 101
TRUSSVILLE AL, 35173-2821, US
Phone (205) 655-0603
Fax (205) 655-0693
Toxanomy
Taxonomy Code 1223X0400X
License State Alabama
License Number 3186
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According to our database, Dr. George Augustus Nelson III D.M.D. NPI is 1053393694, taxonomy code is 1223X0400X and license number is 3186, license state is located at Alabama. George Augustus Nelson III D.M.D. physically located at 4643 Camp Coleman Rd, Trussville AL, 35173-2821. NPI Number George Augustus Nelson III D.M.D. has the Individual type.

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1053393694 NPI number is provided on an as is basis without warranty of any kind. 1053393694 is maintained by the National Plan & Provider Enumeration System. The contents of George Augustus Nelson III D.M.D. are for informational purposes only.