Individual
YASH NANDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-7425
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
163205
FL
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
103158
GA
207QS1201X
Sleep Medicine (Family Medicine) Physician
163205
FL
Other
Enumeration date
04/30/2020
Last updated
02/11/2025
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