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Individual

NALDINE ISAAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 N DECATUR RD FL 3, DECATUR, GA 30033-5918
(832) 546-1365
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
104934
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125079590
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
104934
GA
390200000X
Student in an Organized Health Care Education/Training Program
125079590
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003342161B
GA
Enumeration date
03/31/2021
Last updated
05/05/2026
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