Individual
GINA MARIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
38 E COLUMBUS ST, PICKERINGTON, OH 43147-2316
(614) 834-7030
(614) 834-7031
Mailing address
38 E COLUMBUS ST, PICKERINGTON, OH 43147-2316
(614) 834-7030
(614) 834-7031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.086704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000377623
ANTHEM BC/BS
OH
01
—
0114511
UNITED HEALTHCARE OF OHIO
OH
05
—
2611267
—
OH
Enumeration date
06/30/2006
Last updated
06/23/2008
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