Individual
NIDA SULEMAN JIWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11315 JOHNS CREEK PKWY STE 340, JOHNS CREEK, GA 30097-2646
(770) 709-6922
Mailing address
11315 JOHNS CREEK PKWY STE 340, JOHNS CREEK, GA 30097-2646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92562
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2019
Last updated
07/26/2024
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