Individual
NATHAN A VILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
PO BOX 933642, ATLANTA, GA 31193-3642
(912) 354-4847
(912) 356-3391
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
3924
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002365B
—
GA
05
—
1D0121PA
—
SC
Enumeration date
08/31/2006
Last updated
04/30/2008
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