Individual
DR. MICHELLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 LEE ST SW, ATLANTA, GA 30310-1408
(404) 752-1000
Mailing address
720 WESTVIEW DRIVE SW, HARRIS BLDG., 100-A, ATLANTA, GA 30310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000655421A
—
GA
Enumeration date
08/01/2005
Last updated
07/06/2021
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