Dr. George Augustus Nelson III
Orthodontists
4643 Camp Coleman Rd Suite 101
Trussville
, Alabama 35173-2821
Dr. George Augustus Nelson III
Orthodontists
4643 Camp Coleman Rd Suite 101
Trussville
, Alabama 35173-2821
(205) 655-0693
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. George Augustus Nelson III
- 4643 Camp Coleman Rd Suite 101
- Trussville, AL
- Zip : 35173-2821
- Fax : (205) 655-0693
- Phone : (205) 655-0603
Second Address
- Dr. George Augustus Nelson III
- 4643 Camp Coleman Rd Suite 101
- Trussville, AL
- Zip : 35173-2821
- Fax : (205) 655-0693
- Phone : (205) 655-0603
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 3186 | AL |
National Provider Identifier
| NPI | 1053393694 |
|---|---|
| Provider Name | Dr. George Augustus Nelson III |
| First Address | Trussville, AL 35173-2821 |
| Second Address | Trussville, AL 35173-2821 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2005 |
| Last Update Date | 09/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 152289 | UNITED CONCORDIA PROV # (01) | AL |
| 510-94984 | BCBS OF AL PROV. NUMBER (01) | AL |
| 630759179 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.