Nicole T Flowers, MD. MPH

Individual provider Active NPI Pediatrics Physician · Fort McPherson, GA

NPI 1124174180 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124174180
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD00037981 (WA)
Practice address
1701 Hardee Ave.
Fort McPherson, GA 30330-1062
Phone
(404) 464-0414
Fax
(404) 464-0415
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00037981WAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00037981 WA Yes

Addresses

Primary practice location

1701 Hardee Ave.
Fort McPherson, GA 30330-1062

Mailing address

5358 Oxford Chase Way
Dunwoody, GA 30338-3082
Phone (770) 730-9179

Other providers in Fort McPherson, GA

All providers in Fort McPherson, GA · Pediatrics Physician in Georgia

Sources for this page

Verify at the official NPI Registry.