Individual
NICOLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
699 CHURCH ST NE, SUITE 340, MARIETTA, GA 30060-1110
(678) 355-1620
Mailing address
118 SCENIC VIEW CT, ATLANTA, GA 30339-3666
(678) 793-8497
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003961
GA
Other
Enumeration date
07/15/2014
Last updated
10/01/2014
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