Individual
ELIZABETH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1334 MACKEY BRANCH DR, SUITE 103, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Mailing address
1334 MACKEY BRANCH DR, SUITE 103, CHATTANOOGA, TN 37421-3471
(423) 296-2604
(423) 296-2607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/11/2014
Last updated
08/25/2015
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