Individual
NICHOLAS FILOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(762) 408-2773
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023003579
MO
390200000X
Student in an Organized Health Care Education/Training Program
2023003579
MO
Other
Enumeration date
06/11/2021
Last updated
08/02/2025
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