Nicole T Rivera in Woodstock - Medical

Nicole T Rivera - NPI 1205002151

Nicole T Rivera is a Medical in Woodstock, Georgia. Nicole T Rivera practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicole T Rivera is 1205002151. The last update date is 2017-04-19.

Nicole T Rivera's current location address is 900 Towne Lake Pkwy, Woodstock, Georgia. You can contact this provider via phone number 7709265459 and fax number 7709264421. The mailing address for Nicole T Rivera is 900 Towne Lake Pkwy, Woodstock, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicole T Rivera
Address 900 Towne Lake Pkwy, Woodstock, Georgia
Phone Number 7709265459
Fax Number 7709264421
Sole Proprietor N
Credentials P.A.,C.

NPI Number Detail

NPI Number 1205002151
Provider Enumeration Date 2008-05-01
Last Updated Date 2017-04-19

Provider Mailing Address Detail

Address 900 Towne Lake Pkwy
City Woodstock
State Georgia (GA)
Post Code 301891602
Phone Number 7709265459
Fax Number 7709264421

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5226
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Nicole T Rivera

What is the unique identifier code issued to Nicole T Rivera by the Centers for Medicare & Medicaid Services?

The Nicole T Rivera has been assigned the NPI (National Provider Identifier) 1205002151. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Nicole T Rivera?

The Nicole T Rivera is situated at 900 Towne Lake Pkwy, in the city of Woodstock, state of GA, with the zip code 301891602.

What is the Nicole T Rivera's specialty and taxonomy code?

The Nicole T Rivera's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1205002151 to Nicole T Rivera?

The Centers for Medicare & Medicaid Services originally issued the 1205002151 to Nicole T Rivera on 2008-05-01.

As of what date were the Nicole T Rivera's details last updated?

The information pertaining to the Nicole T Rivera, including its address, specialty, and other details, was most recently updated on 2017-04-19.

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