Individual
NICHOLAS M. MAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD # 12C-189, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
615 MICHAEL ST NE, NE-SUITE 205, ATLANTA, GA 30322-1047
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
076171
GA
207RP1001X
Pulmonary Disease Physician
Primary
076171
GA
Other
Enumeration date
06/19/2012
Last updated
03/29/2019
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