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Contact Information

NEETHU S ATHIMATTATHIL, FNP-BC
4645 TIMBER RIDGE DR STE 160
DOUGLASVILLE, GA30135-7542
 Phone: 678-434-0374
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NEETHU S ATHIMATTATHIL · (Female)

NPI # 1922744218
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 05/09/2022
Last updated 05/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN297221
Hospital affiliation(s) Not Available
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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