Individual
MATTHEW DAVID NICHOLLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
117 CHURCHILL DR, MAYLENE, AL 35114-5413
(205) 213-5861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38154
AL
Other
Enumeration date
05/23/2016
Last updated
09/07/2019
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