Provider Demographics
NPI:1487605895
Name:NAHAS, JULIANA N (MD)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:N
Last Name:NAHAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5211 HIGHWAY 278 NE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-2671
Mailing Address - Country:US
Mailing Address - Phone:770-787-7444
Mailing Address - Fax:770-787-5050
Practice Address - Street 1:4181 HOSPITAL DR
Practice Address - Street 2:STE 202
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30014
Practice Address - Country:US
Practice Address - Phone:770-787-7444
Practice Address - Fax:770-787-5050
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME126458208000000X
GA44549208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000772241BMedicaid