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Individual

DOUGLAS A NYHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
631 PROFESSIONAL DR STE 490, LAWRENCEVILLE, GA 30046-3370
(770) 995-0424
(770) 513-7334
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31643
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00421231C
GA
Enumeration date
04/11/2006
Last updated
10/17/2019
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