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Individual

LINDSEY PANTER NIKNEZHAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 RIVERSTONE VIS, BLUE RIDGE, GA 30513-6648
(706) 632-4400
Mailing address
101 RIVERSTONE VIS, STE 203, BLUE RIDGE, GA 30513-6668
(706) 258-4142
(706) 633-6451

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8087
GA

Other

Enumeration date
09/01/2016
Last updated
01/09/2017
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