Organization
EMERALD COAST URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PAUL NICHOLS M.D. (OWNER PRESIDENT)
(225) 933-2044
Entity
Organization
Contact information
Practice address
12598 HIGHWAY 98, SUITE 101, DESTIN, FL 32552
(850) 654-8878
(850) 654-8840
Mailing address
4520 JAMESTOWN AVE STE 3, BATON ROUGE, LA 70808-3214
(225) 706-3033
(225) 218-4888
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
02/21/2023
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