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Individual

VANESSA NILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 HOWELL MILL RD, STE 275, ATLANTA, GA 30318-2508
(404) 756-1400
(404) 756-5252
Mailing address
75 PIEDMONT AVE NE, STE 700, ATLANTA, GA 30303-2544
(404) 756-1403
(404) 756-5252

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
064619
GA
207V00000X
Obstetrics & Gynecology Physician
13889
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00312722IC
GA
05
138899
SC
Enumeration date
09/28/2006
Last updated
03/06/2014
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