Provider Demographics
NPI:1356866081
Name:NEXCLIN MEDICINE
Entity Type:Organization
Organization Name:NEXCLIN MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LEAD PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIMA
Authorized Official - Middle Name:WAQAS
Authorized Official - Last Name:CHEEMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-358-3059
Mailing Address - Street 1:1052 GRAMERCY LANE
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004
Mailing Address - Country:US
Mailing Address - Phone:678-414-0825
Mailing Address - Fax:
Practice Address - Street 1:1250 UPPER HEMBREE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4651
Practice Address - Country:US
Practice Address - Phone:470-358-3059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty