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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NILTON D MEDINA, MD

Active

DR. NILTON D MEDINA, MD is a Plastic Surgery healthcare provider located in LOGANVILLE, Georgia. NPI 1548488992 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · LOGANVILLE, GA

Registration Details

NPI Number
1548488992
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2007 (19.338173476797 yrs)
Last Updated
Jun 6, 2023
Licenses
244734 (MA)
91080 (GA)

Practice Information

Address
367 ATHENS HWY STE 100
LOGANVILLE, GA, 300522207
Browse GA providers · Browse ZIP 30052
Phone
6784666760
Fax
6788027094
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.