Individual
DR. NICOLE L MCCANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1221 E MCPHERSON AVE, NASHVILLE, GA 31639-2326
(229) 543-7100
Mailing address
861 SW 78TH AVE, SUITE 100B, PLANTATION, FL 33324-3273
(877) 693-5700
(954) 625-6034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
055164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009976565
—
AL
05
—
725573514A
—
GA
01
—
P00229776
RAILROAD MEDICARE
GA
Enumeration date
06/14/2006
Last updated
02/19/2009
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