Individual
DR. CARL MICHAEL NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 JEFFERSON ST, WHITEVILLE, NC 28472-3704
(910) 641-8625
Mailing address
701 JEFFERSON ST, WHITEVILLE, NC 28472-3704
(910) 641-8625
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R-3447
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/11/2018
Last updated
06/25/2024
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