Individual
NICHOLE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,, M.P.H
Contact information
Practice address
1364 CLIFTON RD NE, 3B SOUTH ROOM B-355, ATLANTA, GA 30322-1064
(800) 711-5444
Mailing address
1364 CLIFTON RD NE, 3B SOUTH ROOM B-355, ATLANTA, GA 30322-1059
(800) 711-5444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
001474
GA
207L00000X
Anesthesiology Physician
Primary
060944
GA
Other
Enumeration date
01/14/2008
Last updated
01/05/2010
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