Individual
JOHN ALEXANDER NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
606 BLACK RIVER RD STE 101, GEORGETOWN, SC 29440-3304
(843) 545-5927
(843) 520-4780
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
SC 15656
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
SC 15656
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156565
—
SC
Enumeration date
06/27/2006
Last updated
10/06/2025
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