Tanya Nikolova, M.D.
Internal Medicine, Hospice and Palliative Medicine in Marietta, GA. Individual provider (NPI-1).
NPI number1477589620
StatusActive
Last updated in NPPESJun 10, 2016
Details
- NPI
- 1477589620
- Entity type
- Individual (NPI-1)
- Name
- Tanya Nikolova
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2006
- Last updated
- Jun 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 74180 | GA | Yes |
| 207R00000X | Internal Medicine | 74180 | GA |
Practice location
677 Church St NeMarietta, GA 30060-1101
Phone 770-793-7899 · Fax 770-793-7856
Mailing address
677 Church St NeMarietta, GA 30060-1101
Phone 770-793-7899 · Fax 770-793-7856
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