Individual
DR. CLIFTON SCOTT NICHOLSON-UHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE 250S, MARRERO, LA 70072-3151
(504) 349-6945
(504) 349-6949
Mailing address
26 CASTLE PINES DR, NEW ORLEANS, LA 70131-3326
(504) 349-6945
(504) 349-6949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.021994
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00454
UNITED HEALTHCARE
LA
05
—
1669954
—
LA
01
—
5405145002
CIGNA
LA
01
—
5498645
AETNA
LA
Enumeration date
10/20/2006
Last updated
02/19/2010
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