person
Mr. Nathan Mordel, MD
Gynecology Physician in Roswell, Georgia
NPI 1245298082

Nathan Mordel is a Gynecology Physician based in Roswell, GA and is specialized in Gynecology. Nathan Mordel practices in Roswell, GA and has the professional credentials of MD. The NPI Number for Nathan Mordel is 1245298082 and holds a License No. 045895 (Georgia).

The current practice location address for Nathan Mordel is 2500 Hospital Blvd Ste 340, Roswell, GA and can be reached out via phone at 470-956-4590 and via fax at 678-393-1969. You can also correspond with Nathan Mordel through the mailing address at 2500 HOSPITAL BLVD STE 340, ROSWELL, GA - 30076-4977 (mailing address contact number: 470-956-4590).

Location: 2500 Hospital Blvd Ste 340, Roswell, GA, 30076-4977
person
Provider Profile Details
NPI Number
1245298082
Provider Name
Nathan Mordel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 Hospital Blvd Ste 340, Roswell, GA, 30076-4977
Phone Number
470-956-4590
Fax Number
678-393-1969
Provider Enumeration Date
05/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16BBBSP 01 GA MEDICARE ID/105 COLLIER ROAD SUITE 1010
DA6300 01 GA MEDICARE RAILROAD PIN
00800148A 05 GA
45895 01 GA GA. MED. LICENSE
institution
Provider Business Practice Location Address Details
Address
2500 Hospital Blvd Ste 340
City
State
Zip
30076-4977
Phone Number
470-956-4590
Fax Number
678-393-1969
person
Provider Business Mailing Address Details
Address
2500 Hospital Blvd Ste 340
City
State
Zip
30076-4977
Phone Number
470-956-4590
Fax Number
678-393-1969
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
045895 (Georgia)
Definition
Definition to come...
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