Individual
NICOLA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
641 HIGHPOINT WAY, MCDONOUGH, GA 30253-4699
(770) 715-3089
Mailing address
641 HIGHPOINT WAY, MCDONOUGH, GA 30253-4699
(770) 715-3089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN158399
GA
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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