Organization
ATLANTIC PAIN MANAGEMENT & REHABILITATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE W NICHOLAS M.D. (PHYSICIAN)
(252) 261-5868
Entity
Organization
Contact information
Practice address
3210 N. CROATAN HWY BUILDING 3 SUITE 3, KILL DEVIL HILLS, NC 27948
(252) 261-5868
(252) 441-7793
Mailing address
3210 N. CROATAN HWY BUILDING 3 SUITE 3, KILL DEVIL HILLS, NC 27948
(252) 261-5868
(252) 441-7793
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2002-0059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018V5
BC BS NC
NC
Enumeration date
01/02/2007
Last updated
09/05/2013
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