Individual
MR. JAMES EDWARD NITKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 VIRGINIA ST, GREENSBORO, NC 27401-1313
(336) 275-0927
Mailing address
300 W NORTHWOOD ST, GREENSBORO, NC 27401-1324
(336) 275-0927
(336) 275-4834
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8962684
—
NC
Enumeration date
08/09/2005
Last updated
08/25/2021
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