Individual
DR. F. PETER NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2161 W SPRING ST STE C, MONROE, GA 30655-3196
(770) 963-2451
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
021423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000217104F
—
GA
Enumeration date
07/29/2005
Last updated
08/11/2020
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