Medina, Nilton D

Medina, Nilton D is an individual health care provider with primary practice located at 367 Athens Hwy Ste 100 , Loganville GA 30052-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Medina, Nilton D can be contacted via phone (678) 466-6760.

Contact Information

Primary practice address
367 Athens Hwy Ste 100 Loganville GA 30052-2207
Phone: (678) 466-6760
Fax: (678) 802-7094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 244734 Massachusetts
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 91080 Georgia

Profile Details

NPI number 1548488992
LBN Legal business name Medina, Nilton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jun 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548488992 NPPES
Massachusetts MEDICAID 110086073A

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