Individual
DR. VIJAY NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Mailing address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
055690
MO
207RN0300X
Nephrology Physician
Primary
GA055690
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437284962A
—
GA
05
—
437284962B
—
GA
05
—
437284962C
—
GA
05
—
437284962D
—
GA
05
—
437284962E
—
GA
05
—
437284962F
—
GA
05
—
437284962G
—
GA
05
—
437284962H
—
GA
05
—
437284962J
—
GA
05
—
437284962K
—
GA
05
—
437284962L
—
GA
05
—
437284962N
—
GA
05
—
437284962O
—
GA
05
—
437284962P
—
GA
05
—
437284962Q
—
GA
05
—
437284962R
—
GA
05
—
437284962S
—
GA
05
—
437284962T
—
GA
05
—
437284962U
—
GA
05
—
437284962V
—
GA
Enumeration date
06/10/2005
Last updated
08/01/2019
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