Individual
DR. BARBARA D NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1968 PEACHTREE RD. NORTHEAST, ATLANTA, GA 30309
(404) 605-3297
Mailing address
277 SKY VIEW CT, NEWNAN, GA 30265-4136
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101013259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114759640
—
MI
01
—
BN013259
BC/BS OF MICHIGAN
MI
Enumeration date
08/27/2006
Last updated
12/22/2021
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