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Individual

DR. JAMES R NICHOLS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21721
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06122352
MS
Enumeration date
07/21/2009
Last updated
05/12/2015
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