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Individual

MR. JAY BRYAN NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
104 W FIRE TOWER RD STE B, WINTERVILLE, NC 28590-9475
(252) 689-6020
Mailing address
104 W FIRE TOWER RD STE B, WINTERVILLE, NC 28590-9475
(252) 689-6020

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1435
NC

Other

Enumeration date
06/23/2017
Last updated
07/21/2022
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