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Individual

NICHOLAS J FITZSIMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10650 PARK RD, SUITE # 320, CHARLOTTE, NC 28210-8538
(704) 541-8207
Mailing address
PO BOX 36488, CHARLOTTE, NC 28236-6488
(704) 248-3400
(704) 337-8387

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
117286
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N01705
SC
Enumeration date
04/22/2008
Last updated
06/20/2016
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