Individual
NICHOLAS MICHAEL CAPITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909
(706) 863-9797
(706) 860-7686
Mailing address
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909-1867
(706) 863-9797
(706) 860-7686
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
076656
GA
207X00000X
Orthopaedic Surgery Physician
14886
RI
207X00000X
Orthopaedic Surgery Physician
2010021765
MO
207X00000X
Orthopaedic Surgery Physician
40050
SC
Other
Enumeration date
07/01/2010
Last updated
07/13/2018
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