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Individual

DR. NICOLE STEPHANIE JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1700 HOSPITAL SOUTH DR STE 500, AUSTELL, GA 30106-8159
(770) 941-7717
(770) 948-9729
Mailing address
1700 HOSPITAL SOUTH DR STE 500, AUSTELL, GA 30106-8159
(770) 941-7717
(770) 948-9729

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2886281
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
84390
GA

Other

Enumeration date
06/03/2013
Last updated
09/06/2023
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