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Individual
SHAMEEM NICKEL
Active
Individual
SHAMEEM NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05141975
DATE OF BIRTH
—
Enumeration date
01/30/2023
Last updated
05/11/2026
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