Individual
NICHOLAS BRIT GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
124 S MEMORIAL DR, PRATTVILLE, AL 36067-3619
(334) 365-0651
Mailing address
965 GADDIS AVE, PRATTVILLE, AL 36066-5634
(334) 782-9997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1931
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
12/04/2023
Last updated
01/26/2024
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