Individual
MRS. CAROL S NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
808 PROFESSIONAL BLVD, DALTON, GA 30720
(706) 226-2621
(706) 281-2325
Mailing address
5496 GEORGETOWN TRACE, LILBURN, GA 30047
(770) 921-5039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN029126
GA
363LN0000X
Neonatal Nurse Practitioner
Primary
RN029126
GA
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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