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Individual

NICHOLAS M BATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4142 MILL ST NE, COVINGTON, GA 30014-2540
(770) 787-7311
(770) 787-9349
Mailing address
175 COUNTRY CLUB DR, BLDG 300, SUITE D, STOCKBRIDGE, GA 30281-9054
(678) 284-4040
(678) 284-4076

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
016555
GA

Other

Enumeration date
08/28/2006
Last updated
03/07/2023
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