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Contact Information

JUAN NIETO
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA30281
 Phone: 954-560-2312
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JUAN NIETO · (Male)

NPI Number 1467816272
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2016
Last updated 07/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # D0085043
Hospital affiliation(s)
  • PIEDMONT HENRY HOSPITAL - (Acute Care)
    1133 EAGLE'S LANDING PARKWAY
    STOCKBRIDGE, GA 30281
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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