Individual
MS. VIVIAN L NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
110 E ANDREWS DR NW, SUITE 201, ATLANTA, GA 30305-1368
(404) 841-0090
(404) 262-8974
Mailing address
110 E ANDREWS DR NW, SUITE 201, ATLANTA, GA 30305-1368
(404) 841-0090
(404) 262-8974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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