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Individual
NICOLA PRESLEY REVILLS
Active
Individual
NICOLA PRESLEY REVILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
003029
GA
207Q00000X
Family Medicine Physician
Primary
65784
GA
2083A0100X
Aerospace Medicine Physician
65784
GA
Other
Enumeration date
06/30/2008
Last updated
09/11/2026
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