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Individual

DR. MARGARET MARY NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1062 FORSYTH ST, SUITE 3E, MACON, GA 31201-8637
(478) 741-1776
(478) 741-1775
Mailing address
1062 FORSYTH ST, SUITE 3E, MACON, GA 31201-8637
(478) 741-1776
(478) 741-1775

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042373
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00721223D
GA
01
2133462
AETNA
GA
01
52598399-001
BLUE CROSS BLUE SHIELD
GA
01
8286141-002
CIGNA
GA
Enumeration date
08/28/2006
Last updated
06/28/2013
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