Individual
DR. NICHOLAS A PIETRZAK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3951 RIDGE AVE, STE B, MACON, GA 31210-5051
(478) 757-1934
(478) 757-1596
Mailing address
3951 RIDGE AVE, STE B, MACON, GA 31210-5051
(478) 757-1934
(478) 757-1596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
044308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834413D
—
GA
Enumeration date
08/01/2006
Last updated
02/07/2012
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