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Organization

NICHOLAS SHOLTY MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PEGGY LYNN SHOLTY (OFFICE ADMINISTRATOR)
(850) 857-4888
Entity
Organization

Contact information

Practice address
4707 N DAVIS HWY, PENSACOLA, FL 32503
(850) 857-4888
(850) 857-1255
Mailing address
4707 N DAVIS HWY, PENSACOLA, FL 32503
(850) 857-4888
(850) 857-1255

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
49156
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039768700
FL
05
277618900
FL
Enumeration date
02/12/2007
Last updated
01/28/2009
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