Individual
DR. MELANIE P. NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 WESTSIDE DR, DOTHAN, AL 36303-1928
(334) 793-5074
(334) 793-6460
Mailing address
2855 ROSS CLARK CIR, DOTHAN, AL 36301-2013
(334) 794-7847
(334) 794-2453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25418
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009926185
—
AL
01
—
P00045558
RAILROAD MEDICARE
—
Enumeration date
05/24/2005
Last updated
10/14/2009
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