Individual
STEFAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 MOUNT VERNON RD, DUNWOODY, GA 30338-4243
(770) 399-6772
Mailing address
1713 MOUNT VERNON RD, DUNWOODY, GA 30338-4243
(770) 399-6772
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO10851
GA
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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