Individual
NICOLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.(R)(CT)(ARRT)
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(800) 706-9126
Mailing address
325 BALD CYPRESS DR, WINSTON SALEM, NC 27127-8301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
461951
NC
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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