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Individual

NICHOLAS HEADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6843
(803) 434-1433
Mailing address
15 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6843

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL88165
SC

Other

Enumeration date
03/30/2022
Last updated
07/08/2022
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