Individual
DR. NICKYLEE JOESPH NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
155 BRADFORD SQ, SUITE C, FAYETTEVILLE, GA 30215-1994
(770) 719-1917
Mailing address
24 CHEROKEE ST, NEWNAN, GA 30263-1022
(770) 719-1917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR002265
GA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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