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Individual

JOHN G. NICHOLAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 CARRAWAY BLVD, BIRMINGHAM, AL 35234-1913
(205) 502-6817
(205) 502-5152
Mailing address
PO BOX 55059, BIRMINGHAM, AL 35255-5059
(256) 764-9697
(256) 764-9699

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00011406
AL

Other

Enumeration date
06/02/2006
Last updated
07/08/2007
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