Individual provider · Type 1 NPI

Nicole T. Rivera, P.A., C.

Medical Physician Assistant · Woodstock, GA

NPI number 1205002151 Active

Practice location

900 Towne Lake Pkwy, Suite 308
Woodstock, GA 30189-1602

Call (770) 926-5459 Map

Fax (770) 926-4421

Mailing address

1355 Peachtree St NE, Suite 1600
Atlanta, GA 30309-3212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X005226 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1205002151

Nicole T. Rivera, P.A., C.'s National Provider Identifier is 1205002151, issued on May 1, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Woodstock, GA. The record was last updated on Apr 19, 2017.