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NICHOLAS LEONARD CAPUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11650 ALPHARETTA HWY, ROSWELL, GA 30076-3805
(404) 596-5670
Mailing address
1973 BOYD TRACE LN NW, ATLANTA, GA 30318-4471

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10016
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/14/2019
Last updated
02/01/2024
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