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Individual

DR. CHRISTOPHER W NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2004-01658
NC
207X00000X
Orthopaedic Surgery Physician
Primary
57734
GA
207X00000X
Orthopaedic Surgery Physician
MD30266
SC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
57734
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5901024
NC
05
788032045F
GA
05
N01659
SC
Enumeration date
11/22/2005
Last updated
10/30/2019
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