Individual
DR. TONYA B NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2400 BELLEVUE RD, ERIN OFFICE SUITE 26, DUBLIN, GA 31021-2885
(478) 275-1304
Mailing address
1111 SHAMROCK DR, DUBLIN, GA 31021-3096
(478) 998-3616
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
131379
GA
367A00000X
Advanced Practice Midwife
ARNP-9165179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047831-00
—
FL
Enumeration date
07/13/2005
Last updated
03/16/2010
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