Individual
DR. VINCENT MICHAEL NICOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1454
Mailing address
5110 MIDLAND TRCE, MIDLAND, GA 31820-3426
(706) 561-4992
(706) 561-4992
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
131631
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
17941
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
34676
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462789C
—
GA
Enumeration date
02/13/2007
Last updated
10/08/2013
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