Dr. John Earl Adkisson Jr., d.d.s.
Dentist in Marietta, GA. Individual provider (NPI-1).
NPI number1144439803
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144439803
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Earl Adkisson Jr.
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 8245 | GA | Yes |
Practice location
644 Cherokee St NeMarietta, GA 30060-8910
Phone 770-424-6569 · Fax 770-424-9433
Mailing address
644 Cherokee St NeMarietta, GA 30060-8910
Phone 770-424-6569 · Fax 770-424-9433
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