Individual
NATHAN SEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 COUNTRY CLUB DR 100A, STOCKBRIDGE, GA 30281-7380
(770) 507-0707
(770) 507-1539
Mailing address
175 COUNTRY CLUB DR 100A, STOCKBRIDGE, GA 30281-7380
(404) 705-9170
(770) 507-1539
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
020602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000219161E
—
GA
Enumeration date
07/30/2006
Last updated
09/18/2015
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