Individual
NATALIE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6843
(803) 434-4300
Mailing address
15 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6843
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL92464
SC
Other
Enumeration date
03/27/2024
Last updated
08/01/2024
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