Individual
AUBREY NORWOOD NICHOLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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