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Individual

DR. AMY LYNN NICHOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5283 CORPORATE DR STE 201, FREDERICK, MD 21703-2879
(301) 662-4545
(301) 662-4044
Mailing address
5283 CORPORATE DR STE 201, FREDERICK, MD 21703-2879
(301) 662-4545
(301) 662-4044

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101253214
VA
207W00000X
Ophthalmology Physician
Primary
D0075217
MD

Other

Enumeration date
05/18/2009
Last updated
09/20/2021
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