Individual
JOHN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
738 BRYANT ST, STATESVILLE, NC 28677-4189
(704) 230-4382
(704) 253-4085
Mailing address
738 BRYANT ST, STATESVILLE, NC 28677-4189
(704) 230-4382
(704) 253-4085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8962581
—
NC
Enumeration date
03/10/2006
Last updated
08/28/2025
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