Individual
DR. MARGARET ELLZEY-NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1212 MISSION 66, VICKSBURG, MS 39183-3137
(601) 636-5321
(601) 636-5321
Mailing address
133 KENZIE DRIVE, MADISON, MS 39110-4519
(601) 270-7903
(601) 883-2366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3559-10
MS
Other
Enumeration date
08/02/2010
Last updated
02/07/2014
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