Individual
SHERLEY OLDHAM NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5114
Mailing address
1050 BONAVENTURE WAY, LAWRENCEVILLE, GA 30044-6189
(770) 815-2330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
044977
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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