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Kim Richard Nicola, MD
Specialist in Kennesaw, Georgia
NPI 1770608267

Kim Richard Nicola is a Specialist based in Kennesaw, GA. Kim Richard Nicola practices in Kennesaw, GA and has the professional credentials of MD. The NPI Number for Kim Richard Nicola is 1770608267 and holds a License No. 027881 (Georgia).

The current practice location address for Kim Richard Nicola is 2928 Busbee Pkwy Nw, Kennesaw, GA and can be reached out via phone at 770-627-4950 and via fax at 770-627-4950.

Location: 2928 Busbee Pkwy Nw, Kennesaw, GA, 30144-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770608267
Provider Name
Kim Richard Nicola
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2928 Busbee Pkwy Nw, Kennesaw, GA, 30144-4820
Phone Number
770-627-4950
Fax Number
770-627-4950
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00312375D 05 GA
institution
Provider Business Practice Location Address Details
Address
2928 Busbee Pkwy Nw
City
Kennesaw
State
Georgia
Zip
30144-4820
Phone Number
770-627-4950
Fax Number
770-627-4950
person
Provider Business Mailing Address Details
Address
2928 Busbee Pkwy Nw
City
Kennesaw
State
Georgia
Zip
30144-4820
Phone Number
770-627-4950
Fax Number
770-627-4950
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
027881 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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