Individual
DR. NICKI PANOSKALTSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
WINSHIP CANCER INSTITUTE 1365 CLIFTON ROAD, ATLANTA, GA 30322-0001
(404) 778-3933
Mailing address
92 W PACES FERRY RD NW UNIT 4019, ATLANTA, GA 30305-1387
(407) 891-8170
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
81692
GA
207RH0003X
Hematology & Oncology Physician
81692
GA
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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