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NPI Code Detail

MEDICARE: DR. NICHOLAS FITZPATRICK M.D.

MEDICARE: DR. NICHOLAS FITZPATRICK M.D.
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
1208000000XPediatrics Physician80962GA
22080P0214XPediatric Pulmonology Physician80962GA

General Provider Information

NPI Number : 1942689146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS FITZPATRICK M.D.
Provider Business Mailing Address
First Line : 2174 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3102
Country : US
Telephone Number : 404-785-7856
Fax Number :
Provider Business Practice Location Address
First Line : 2174 N DRUID HILLS RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-3102
Country : US
Telephone Number : 404-785-7856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2015
Last Update Date : 01/14/2026

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