NIDHA JIVAN PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1902580772- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 1800 TREE LN STE 250, SNELLVILLE, GA, 300786799
- Phone
- (770) 736-6300
Specialties & Taxonomies
Internal Medicine, Interventional Cardiology
License: GA #11663
Physician Assistant
Primary License: GA #11663
All Addresses
MAILING
410 MEIJER DR
FLORENCE, KY, 410425128