MEDICARE: FRANCINE S NKOY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	004525	GA

General Provider Information

NPI Number	:	1265687172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCINE S NKOY PA

Provider Business Mailing Address
First Line	:	1192 ROCKBRIDGE RD STE A
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-2923
Country	:	US
Telephone Number	:	770-925-2010
Fax Number	:	770-925-1665

Provider Business Practice Location Address
First Line	:	1192 ROCKBRIDGE RD STE A
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-2923
Country	:	US
Telephone Number	:	770-925-2010
Fax Number	:	770-925-1665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2008
Last Update Date	:	10/23/2018

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Directions to “ FRANCINE S NKOY PA” Practice Location

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