# DEIRDRE Z JOINER NICHOLS MD LLC

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

## Provider details

- **NPI number:** 1639376759
- **Authorized official:** DR. DEIRDRE Z JOINER-NICHOLS MD (MEMBER)
- **Authorized official phone:** (257) 772-0606

## Contact information

- **Practice address:** 105 W DUBLIN DR., MADISON, AL 35758-1787
- **Practice address phone:** (256) 772-0606
- **Mailing address:** PO BOX 147, MADISON, AL 35758-0147
- **Mailing address phone:** (256) 772-0606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 07/10/2007