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NPI Code Detail

MEDICARE: KIARA NYOMBA

MEDICARE:   KIARA  NYOMBA
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1699329250
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIARA NYOMBA
Provider Business Mailing Address
First Line : 6950 PRESTONS ESTATE
Second Line :
City : ATLANTA
State : GA
Zip : 30349-1087
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6950 PRESTONS ESTATE
Second Line :
City : ATLANTA
State : GA
Zip : 30349-1087
Country : US
Telephone Number : 404-918-6834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2019
Last Update Date : 07/31/2019

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Directions to “ KIARA NYOMBA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.