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Organization
SCOTT R. NICHOLS M.D. P.A.
Active
Organization
SCOTT R. NICHOLS M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT R NICHOLS MD (OWNER)
(870) 879-3517
Entity
Organization
Contact information
Practice address
3801 CAMDEN RD # 22, PINE BLUFF, AR 71603-4612
(870) 879-3517
Mailing address
3801 CAMDEN RD # 22, PINE BLUFF, AR 71603-4612
(870) 879-3517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6461
AR
Other
Enumeration date
08/18/2009
Last updated
11/13/2015
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