Doctor Name: | DR. NICHOLAS KONGOASA |
NPI Number: | 1376895946 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 26915 |
Business Practice Address: | 1140 Hammond Dr Ste F 6220 Atlanta, GA - 303285338 |
Business Phone Number: | 7709130001 |
Business Fax Number: | 7709130005 |
Mailing Address: | 1140 Hammond Dr, Ste F 6220 ATLANTA |
State: | GA |
Postal Code: | 303285338 |
Phone Number: | 7709130001 |
Fax Number: | 7709130005 |
NPI Enumeration Date: | 10/08/2012 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 26915 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |