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Individual

DR. NICOLE LEIGH BOLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5815 BLAKENEY PARK DR STE 100, CHARLOTTE, NC 28277-5732
(704) 542-2220
(704) 542-3304
Mailing address
1072 X RAY DR, GASTONIA, NC 28054-7488
(980) 399-6330
(704) 671-1095

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
202500335
NC
390200000X
Student in an Organized Health Care Education/Training Program
RS2022-0770
NM
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
05/01/2020
Last updated
09/09/2025
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