Individual
ELENA C. NICHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3141
(706) 721-6602
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2650
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
055506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273000
—
SC
05
—
316795116A
—
GA
Enumeration date
05/16/2006
Last updated
03/31/2011
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