Nino, John

Nino, John is an individual health care provider with primary practice located at 6002 Professional Pkwy Suite 100, Douglasville GA 30134-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Nino, John can be contacted via phone (770) 949-4200.

Contact Information

Primary practice address
6002 Professional Pkwy Suite 100 Douglasville GA 30134-5600
Phone: (770) 949-4200
Fax: (770) 949-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 045901 Georgia

Profile Details

NPI number 1689670804
LBN Legal business name Nino, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689670804 NPPES
Georgia MEDICAID 000799202A

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