Individual
MELANIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
983 NICHOLS WALKER RD, TIFTON, GA 31794-7321
(229) 533-5848
Mailing address
983 NICHOLS WALKER RD, TIFTON, GA 31794-7321
(229) 533-5848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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