Individual
DR. LEE M NICOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 N STATE ST, SUITE 502, JACKSON, MS 39202-2413
(601) 944-1781
(601) 353-0439
Mailing address
1190 N STATE ST, SUITE 502, JACKSON, MS 39202-2413
(601) 944-1781
(601) 353-0439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T-1706
MS
Other
Enumeration date
06/04/2007
Last updated
10/15/2012
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