Individual
DR. ANTONE M NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1723 UNIVERSITY AVE STE B, OXFORD, MS 38655-4109
(662) 290-9091
Mailing address
1723 UNIVERSITY AVE STE B, BOX 315, OXFORD, MS 38655
(662) 290-9091
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21627
MS
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
21627
MS
Other
Enumeration date
02/19/2009
Last updated
06/14/2023
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