Individual
STEPHEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 698-6061
Mailing address
960 EAST 3RD ST, SUITE 104, UT COLLEGE OF MEDICINE CHATTANOOGA, CHATTANOOGA, TN 37403
(423) 778-7628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53901
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2014
Last updated
07/21/2022
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