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Dr. Mary John Ninan, MD
Hematology & Oncology Physician in Johns Creek, Georgia
NPI 1356533145

Mary John Ninan is a Hematology & Oncology Physician based in Atlanta, GA and is specialized in Hematology & Oncology. Mary John Ninan practices in Johns Creek, GA and has the professional credentials of MD. The NPI Number for Mary John Ninan is 1356533145 and holds a License No. (Georgia).

The current practice location address for Mary John Ninan is 6300 Hospital Pkwy Ste 300, Johns Creek, GA and can be reached out via phone at 770-623-8965 and via fax at 770-623-4018.

Location: 6300 Hospital Pkwy Ste 300, Johns Creek, GA, 30341-1071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356533145
Provider Name
Mary John Ninan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6300 Hospital Pkwy Ste 300, Johns Creek, GA, 30341-1071
Phone Number
770-623-8965
Fax Number
770-623-4018
Provider Enumeration Date
08/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G10127A 01 GA MEDICARE PTAN
003158193C 05 GA
003158193D 05 GA
institution
Provider Business Practice Location Address Details
Address
6300 Hospital Pkwy Ste 300
City
Johns Creek
State
Georgia
Zip
30097-1982
Phone Number
770-623-8965
Fax Number
770-623-4018
person
Provider Business Mailing Address Details
Address
6300 Hospital Pkwy Ste 300
City
Johns Creek
State
Georgia
Zip
30097-1982
Phone Number
770-623-8965
Fax Number
770-623-4018
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
058551 (Georgia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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