License holder summary

RIVERA, NICOLE TABATHA is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for RIVERA, NICOLE TABATHA is 960 WOODSTOCK PARKWAY SUITE 300 30188. This doctor license is current. The license was granted 12/07/2007 and expired on 04/30/2017.

Georgia

Composite Medical Board

RIVERA, NICOLE TABATHA
Medical - Physician Assistant
License number
005226
Date granted
12/07/2007
Date expires
04/30/2017
Class
Medical - Physician Assistant
Status
Active
Address
960 WOODSTOCK PARKWAY SUITE 300
georgiadoctors.net
ID 38101108
LAST UPDATED 2024-03-10 02:18:00 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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