Organization
RICHARD J. NIJEM & WILLIAM C NIJEM PTR
Active
Organization
RICHARD J. NIJEM & WILLIAM C NIJEM PTR
Active
Other names
Nijem and Nijem MDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J NIJEM M.D. (DR.)
(229) 244-9800
Entity
Organization
Contact information
Practice address
1700 N PATTERSON ST, VALDOSTA, GA 31602-2941
(229) 244-9800
Mailing address
1700 N PATTERSON ST, VALDOSTA, GA 31602-2941
(229) 244-9800
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15405
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN9373
RAILROAD MEDICARE
GA
Enumeration date
12/13/2007
Last updated
10/06/2011
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