# DAVID NICHOLSON DO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285076380
- **Authorized official:** DR. DAVID SCOTT NICHOLSON D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (937) 310-1218

## Contact information

- **Practice address:** 4403 STATE ROUTE 725 STE A1, BELLBROOK, OH 45305-2700
- **Practice address phone:** (937) 310-1218
- **Practice address fax:** (937) 310-1378
- **Mailing address:** 4403 STATE ROUTE 725 STE A1, BELLBROOK, OH 45305-2700
- **Mailing address phone:** (937) 310-1218
- **Mailing address fax:** (937) 310-1378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 34008874 | OH | Yes |

## Other

- **Enumeration date:** 07/18/2013
- **Last updated:** 04/26/2023