Individual
MRS. PATRICIA RENEE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
250 NC HIGHWAY 210, SMITHFIELD, NC 27577-6970
(919) 300-6507
Mailing address
288 ALBEMARLE DR, CLAYTON, NC 27527-4218
(919) 631-0708
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5947
NC
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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