Individual
DR. ROMERO NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1355 CHURCH STREET EXT NE, SUITE F, MARIETTA, GA 30060-1099
(770) 499-1449
Mailing address
1355 CHURCH STREET EXT NE, SUITE F, MARIETTA, GA 30060-1099
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374624C
—
GA
Enumeration date
10/03/2006
Last updated
07/08/2007
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