Individual
NICOLE KATHY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 787-9358
Mailing address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86332
GA
Other
Enumeration date
07/12/2013
Last updated
11/13/2023
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