Individual
NIDHI K. GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(706) 787-2481
Mailing address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905-2602
(706) 787-2481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000421704H
—
GA
05
—
G31752
—
SC
Enumeration date
08/30/2006
Last updated
03/21/2024
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