Individual
NICOLE ANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 BLACKMON RD, APT 2801, COLUMBUS, GA 31909-4489
(706) 302-9711
Mailing address
7401 BLACKMON RD, APT 2801, COLUMBUS, GA 31909-4489
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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