Organization
NICHOLLS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARLA SUTTON (PSO)
(912) 338-5263
Entity
Organization
Contact information
Practice address
806 N LIBERTY ST, NICHOLLS, GA 31554-4006
(912) 345-0059
(912) 345-0062
Mailing address
806 N LIBERTY ST, NICHOLLS, GA 31554-4006
(912) 345-0059
(912) 345-0062
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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