Individual
DR. MARY JOHN NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6300 HOSPITAL PKWY STE 300, JOHNS CREEK, GA 30097-1982
(770) 623-8965
(770) 623-4018
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 566-6995
(678) 566-0346
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
058551
GA
207RH0003X
Hematology & Oncology Physician
43128
TX
207RH0003X
Hematology & Oncology Physician
N7955
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158193C
—
GA
05
—
003158193D
—
GA
01
—
G10127A
MEDICARE PTAN
GA
Enumeration date
08/15/2007
Last updated
08/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us