Individual
MYKENNA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
833 CAMPBELL HILL ST NW STE 250, MARIETTA, GA 30060-1162
(470) 956-2020
(770) 999-2785
Mailing address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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