Individual
NICHOLAS DEGROOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2316 WALKER BLD, AUBURN UNIVERSITY, AL 36849-0001
(952) 607-7471
Mailing address
4315 GOLF CLUB DR APT 5808, AUBURN, AL 36830-5894
(952) 607-7471
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12441
AL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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