Individual
DR. NIMISHA J TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3778 HIGHWAY 42, LOCUST GROVE, GA 30248
(678) 610-6649
(678) 610-6025
Mailing address
3778 HIGHWAY 42, LOCUST GROVE, GA 30248
(678) 610-6649
(678) 610-6025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053715
GA
261QU0200X
Urgent Care Clinic/Center
053715
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117518856A
—
GA
Enumeration date
06/28/2005
Last updated
09/15/2016
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