Individual provider · Type 1 NPI
Nicole Lee Khoury, PA-C
Medical Physician Assistant · Atlanta, GA
NPI number
1124144787
Active
Practice location
960 Johnson Ferry Road, Suite 200 Advanced Ent, Pc
Atlanta, GA 30342
Fax (404) 943-1390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 003041 (GA) |
Medical Physician Assistant: Definition to come...
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About NPI 1124144787
Nicole Lee Khoury, PA-C's National Provider Identifier is 1124144787, issued on Mar 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on May 26, 2011.