Individual
ABBY ELAINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-AA
Contact information
Practice address
303 PARKWAY DRIVE NE, ATLANTA, GA 30312-1212
(404) 265-4421
(404) 265-3894
Mailing address
PO BOX 932925, ATLANTA, GA 31193-2925
(800) 364-9216
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006453
GA
Other
Enumeration date
06/15/2012
Last updated
11/05/2013
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