Individual
BRANDON WOODFIN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MEMORIAL HOSPITAL DR STE 200, MOBILE, AL 36608-1787
(251) 414-5900
Mailing address
101 MEMORIAL HOSPITAL DR STE 200, MOBILE, AL 36608-1787
(251) 414-5900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21515
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04450554
—
MS
Enumeration date
10/10/2007
Last updated
04/26/2022
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