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Organization

NISON H. SHLEIFER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NISON HOWARD SHLEIFER MD (PRESIDENT)
(404) 524-6038
Entity
Organization

Contact information

Practice address
340 BOULEVARD NE, SUITE 530, ATLANTA, GA 30312-1273
(404) 524-6038
Mailing address
340 BOULEVARD NE, SUITE 530, ATLANTA, GA 30312-1273
(404) 524-6038

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17298
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00138036A
GA
Enumeration date
01/22/2010
Last updated
01/22/2010
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