Organization
SUZANNE NICHOLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE NICHOLAS (MD)
(501) 538-9601
Entity
Organization
Contact information
Practice address
2224 RIVERFRONT LN, FAYETTEVILLE, AR 72703-9527
(501) 538-9601
Mailing address
2224 RIVERFRONT LN, FAYETTEVILLE, AR 72703-9527
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-9434
AR
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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