| North Georgia Orthodontics | |
|
102 Pavilion Pkwy Suite 14 Fayetteville GA 30214-4056 | |
| (770) 716-0111 | |
| (770) 716-0105 |
| Full Name | North Georgia Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 102 Pavilion Pkwy, Fayetteville, Georgia |
| Authorized Official Name and Position | Eric Jerome Echols (ORTHODONTIST) |
| Authorized Official Contact | 7707160100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Georgia Orthodontics 74 Smokerise Pt Peachtree City GA 30269-4069 Ph: (770) 716-0100 | North Georgia Orthodontics 102 Pavilion Pkwy Suite 14 Fayetteville GA 30214-4056 Ph: (770) 716-0111 |
| NPI Number | 1326256066 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326256066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN011542 (Georgia) | Primary |
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