Individual
WILLIAM LAWRENCE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 W 37TH ST, SEA ISLAND, GA 31561-9748
(912) 634-9036
Mailing address
PO BOX 31103, SEA ISLAND, GA 31561-1103
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13070
GA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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