Individual
NICOLE KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3619 BRASELTON HWY STE 103, DACULA, GA 30019-4668
(770) 513-8882
Mailing address
801 MILL BROOK LN, HOSCHTON, GA 30548-3726
(770) 883-2653
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN207183
GA
Other
Enumeration date
05/25/2014
Last updated
11/26/2014
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