Individual
NICKY N SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
(706) 774-5792
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
069923
GA
207R00000X
Internal Medicine Physician
MD446277
PA
Other
Enumeration date
06/17/2009
Last updated
06/01/2020
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