Individual
KAMRYN NICOLE NICHOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13607
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
01/12/2026
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