Individual
DR. NICHOLAS A TILIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 WALTHER RD, LAWRENCEVILLE, GA 30045-8725
(770) 963-3801
(770) 963-3856
Mailing address
PO BOX 490430, LAWRENCEVILLE, GA 30049-0008
(678) 985-4840
(678) 985-4855
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
022340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00326367A
—
GA
Enumeration date
10/27/2005
Last updated
04/20/2008
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