Individual
ROBERT L NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1790 CENTURY BLVD NE, SUITE A, ATLANTA, GA 30345-3322
(404) 636-1444
Mailing address
1790 CENTURY BLVD NE, SUITE A, ATLANTA, GA 30345-3322
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021422
GA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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