Individual
NICOLA MARIO ZETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH STREET, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
110 S PACA ST, BALTIMORE, MD 21201-1642
(410) 328-4409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00000
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
85992
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D88446
MD
207RI0200X
Infectious Disease Physician
00000
PA
Other
Enumeration date
03/03/2018
Last updated
11/22/2021
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