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NPI Code Detail

MEDICARE: SHEELA JAYARAMAN NIKHIL NP-C

MEDICARE: SHEELA JAYARAMAN NIKHIL NP-C
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
1363LF0000XFamily Nurse PractitionerRN209869GA

General Provider Information

NPI Number : 1477892420
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEELA JAYARAMAN NIKHIL NP-C
Provider Business Mailing Address
First Line : 2518 JIMMY LEE SMITH PKWY
Second Line :
City : HIRAM
State : GA
Zip : 30141-2068
Country : US
Telephone Number : 470-644-8027
Fax Number :
Provider Business Practice Location Address
First Line : 2518 JIMMY LEE SMITH PKWY
Second Line :
City : HIRAM
State : GA
Zip : 30141-2068
Country : US
Telephone Number : 470-644-8027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2013
Last Update Date : 01/02/2019

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