Individual
DR. KALVIN LADELLE NATHANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5665 NEW NORTHSIDE DR, 320, ATLANTA, GA 30328-5831
(770) 874-5400
Mailing address
5665 NEW NORTHSIDE DR, 320, ATLANTA, GA 30328-5831
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
72290
GA
207P00000X
Emergency Medicine Physician
Primary
DO.000336
LA
207P00000X
Emergency Medicine Physician
DO.2167
AL
Other
Enumeration date
04/18/2011
Last updated
02/12/2026
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