Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 61803 | GA |
N | 207Q00000X | Family Doctor | LL 27322 | SC |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 61803 | GA |
NPI | 1104950096 |
---|---|
Provider Name | Nokuthula Nondumiso Msimanga |
First Address | Marietta, GA 30060-1120 |
Second Address | Marietta, GA 30060-1120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 03/01/2020 |