Organization
NICHOLS MED EVAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES THOMAS NICHOLS III MD (MD/SOLE OWNER)
(318) 617-6662
Entity
Organization
Contact information
Practice address
136 RIALS DR, MANY, LA 71449-8109
(318) 575-9911
(318) 703-5760
Mailing address
PO BOX 5313, SHREVEPORT, LA 71135-5313
(318) 798-4664
(318) 798-4457
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
12/10/2013
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