Individual
AUBREY NORWOOD NICHOLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414B MARION AVE, MCCOMB, MS 39648-2710
(601) 684-3112
(601) 249-3290
Mailing address
414B MARION AVE, MCCOMB, MS 39648-2710
(601) 684-3112
(601) 249-3290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
07694
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119350
—
MS
01
—
07694
STATE LICENSE
MS
01
—
1346385762
CIGNA
—
01
—
5875836375A
BLUE CROSS BLUE SHIELD - ALL
MS
Enumeration date
01/10/2007
Last updated
01/14/2011
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