person
Ms. Nadine Angela Ennis, PAC
Medical Physician Assistant in Atlanta, Georgia
NPI 1962571612

Nadine Angela Ennis is a Medical Physician Assistant based in Atlanta, GA and is specialized in Medical. Nadine Angela Ennis practices in Atlanta, GA and has the professional credentials of PAC. The NPI Number for Nadine Angela Ennis is 1962571612 and holds a License No. 004493 (Georgia).

The current practice location address for Nadine Angela Ennis is 3620 Martin Luther King Jr Dr Sw, Atlanta, GA and can be reached out via phone at 404-696-7300 and via fax at 404-699-3514.

Location: 3620 Martin Luther King Jr Dr Sw, Atlanta, GA, 30331-3711
person
Provider Profile Details
NPI Number
1962571612
Provider Name
Nadine Angela Ennis
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3620 Martin Luther King Jr Dr Sw, Atlanta, GA, 30331-3711
Phone Number
404-696-7300
Fax Number
404-699-3514
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
457877647A 05 GA
457877647C 05 GA
457877647D 05 GA
457877647B 05 GA
457877647E 05 GA
institution
Provider Business Practice Location Address Details
Address
3620 Martin Luther King Jr Dr Sw
City
State
Zip
30331-3711
Phone Number
404-696-7300
Fax Number
404-699-3514
person
Provider Business Mailing Address Details
Address
3620 Martin Luther King Jr Dr Sw
City
State
Zip
30331-3711
Phone Number
404-696-7300
Fax Number
404-699-3514
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004493 (Georgia)
Definition
Definition to come...
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