Individual
KHALED NASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Mailing address
PO BOX 740209, DEPARTMENT 40233, ATLANTA, GA 30374-0209
(678) 450-0202
(678) 450-0080
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
43717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00839198
—
GA
Enumeration date
05/24/2005
Last updated
01/17/2019
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