Individual provider · Type 1 NPI

Nicole Anne Ivan, DO

Surgery Physician · Augusta, GA

NPI number 1386483444 Active

Practice location

1459 Laney Walker Boulevard, Ae 3046
Augusta, GA 30912

Mailing address

5 Bailiwick Dr
Warren, NJ 07059-6847

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X16269 (GA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1386483444

Nicole Anne Ivan, DO's National Provider Identifier is 1386483444, issued on May 20, 2024. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Augusta, GA. The record was last updated on May 20, 2024.