Individual
MR. NORMAN A NICHOLAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
1311 W SPRING ST, MONROE, GA 30655-1758
(770) 267-7824
(770) 207-0072
Mailing address
1311 W SPRING ST, MONROE, GA 30655-1758
(770) 267-7824
(770) 207-0072
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO000998
GA
Other
Enumeration date
12/26/2005
Last updated
07/09/2007
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