Individual
MANUEL ADAM NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1308 SHERWOOD AVE, RICHMOND, VA 23220-1210
(804) 828-2467
Mailing address
8440 TOWN HALL CT, HENRICO, VA 23231-7500
(804) 919-9818
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0110-008066
VA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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