Individual
MRS. JUDITH A NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
507 ROBERT M GRISSOM PKWY, MYRTLE BEACH, SC 29577-6576
(843) 448-4222
Mailing address
PO BOX 1305, MYRTLE BEACH, SC 29578-1305
(843) 448-4222
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
04/21/2010
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