Individual
NISHA SARA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
69 JESSE HILL JR DR SE, ATLANTA, GA 30303
(404) 251-8787
Mailing address
69 JESSE HILL JR DR SE, ATLANTA, GA 30303-3033
(404) 251-8787
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
5719
GA
207RX0202X
Medical Oncology Physician
Primary
80952
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2012
Last updated
10/29/2018
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