Individual
KENDALL JAMES NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 EXECUTIVE PARK DR NE FL 4, ATLANTA, GA 30329-2206
(404) 712-7533
Mailing address
420 DELAWARE STREET SE, MMC 295, DEPARTMENT OF NEUROLOGY, MINNEAPOLIS, MN 55455
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
97548
GA
Other
Enumeration date
06/20/2017
Last updated
03/06/2024
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