Organization
NICHOLS MED EVAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS NICHOLS MD (MD/SOLE OWNER)
(318) 617-6662
Entity
Organization
Contact information
Practice address
240 HIGHLAND DRIVE, MANY, LA 71449
(318) 617-6662
Mailing address
PO BOX 5313, SHREVEPORT, LA 71135-5313
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
205051
LA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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