Most Relevant Information
Provider Data
| NPI Number: | 1003453283 |
| Provider Name: | NIVES KERAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 9552 |
Most Important Dates
| Enumeration Date: | 12/05/2019 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
1365 CLIFTON RD NE
ATLANTA
GA
303221013
Practice Location Phone/Fax
| Phone: | 4047781900 |
| Fax: |
Provider Mailing Location
1365 CLIFTON RD NE
ATLANTA
GA
303221013
Provider Mailing Phone/Fax
| Phone: | 4047781900 |
| Fax: |