Individual
DOUGLAS KELLEY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1436 RIVERCHASE BLVD, ROCK HILL, SC 29732-1777
(803) 329-2636
(803) 329-2184
Mailing address
1436 RIVERCHASE BLVD, ROCK HILL, SC 29732-1777
(803) 329-2636
(803) 329-2184
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0717
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T00380
—
SC
Enumeration date
05/24/2005
Last updated
02/05/2026
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