# NICHOLLS CLINIC

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

## Provider details

- **NPI number:** 1669418711
- **Authorized official:** STARLA SUTTON (PSO)
- **Authorized official phone:** (912) 338-5263

## Contact information

- **Practice address:** 806 N LIBERTY ST, NICHOLLS, GA 31554-4006
- **Practice address phone:** (912) 345-0059
- **Practice address fax:** (912) 345-0062
- **Mailing address:** 806 N LIBERTY ST, NICHOLLS, GA 31554-4006
- **Mailing address phone:** (912) 345-0059
- **Mailing address fax:** (912) 345-0062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/22/2020