Individual
TORRENCE LABARON NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
(251) 639-5775
(251) 631-3581
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29760
AL
Other
Enumeration date
05/28/2008
Last updated
01/25/2019
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