Individual
TANYA NIKOLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7899
(770) 793-7856
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-7899
(770) 793-7856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
74180
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
74180
GA
Other
Enumeration date
06/22/2006
Last updated
06/10/2016
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