# SCOTT R. NICHOLS M.D. P.A.

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

## Provider details

- **NPI number:** 1861624330
- **Authorized official:** SCOTT R NICHOLS MD (OWNER)
- **Authorized official phone:** (870) 879-3517

## Contact information

- **Practice address:** 3801 CAMDEN RD \# 22, PINE BLUFF, AR 71603-4612
- **Practice address phone:** (870) 879-3517
- **Mailing address:** 3801 CAMDEN RD \# 22, PINE BLUFF, AR 71603-4612
- **Mailing address phone:** (870) 879-3517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C6461 | AR | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 11/13/2015