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Individual

DR. ROBERT V NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 763-7408
Mailing address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 763-7408

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30567
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8962545
NC
Enumeration date
07/26/2005
Last updated
01/10/2014
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