Individual
EULAUNDA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N ANDERSON DR, SWAINSBORO, GA 30401-4440
(478) 289-2522
(478) 289-2798
Mailing address
223 N ANDERSON DR, SWAINSBORO, GA 30401-4440
(478) 289-2522
(478) 289-2798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
048209
GA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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