Organization
ROBERT L NICHOLAS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L NICHOLAS M.D. (OWNER)
(404) 636-1444
Entity
Organization
Contact information
Practice address
1790 CENTURY BLVD NE, SUITE A, ATLANTA, GA 30345-3322
(404) 636-1444
Mailing address
1790 CENTURY BLVD NE, SUITE A, ATLANTA, GA 30345-3322
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21422
GA
Other
Enumeration date
03/10/2007
Last updated
08/22/2020
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