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MICHELE HOLLOWAY NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9587
(205) 975-4623
Mailing address
1600 7TH AVE S STE 110, BIRMINGHAM, AL 35233-1711
(205) 638-9587

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD.15188
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD.15188
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009928360
AL
05
100292
AL
01
1568450377
TRICARE SOUTH
AL
01
510-95307
BCBS
AL
01
515-90063
BCBS
AL
01
7897225
AETNA
AL
Enumeration date
10/06/2005
Last updated
08/27/2019
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