Individual
MR. SETH PEYTON NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11274 PERSINGER CIR, NORTHPORT, AL 35475-4970
(205) 792-0794
Mailing address
11274 PERSINGER CIR, NORTHPORT, AL 35475-4970
(205) 792-0794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8783857
AL
Other
Enumeration date
03/28/2020
Last updated
03/28/2020
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