Individual
NICOLE G NAHMOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0656
(434) 982-4128
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
0110007910
VA
363AS0400X
Surgical Physician Assistant
Primary
0110007910
VA
Other
Enumeration date
06/24/2021
Last updated
11/01/2024
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