Individual
NICHOLAS A. DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
541 MELDON RD, EVANS, GA 30809
(717) 557-5926
Mailing address
541 MELDON RD, EVANS, GA 30809-7103
(717) 557-5926
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
075048
GA
208VP0014X
Interventional Pain Medicine Physician
H0059778
MD
Other
Enumeration date
03/23/2006
Last updated
07/02/2018
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