Individual
SCOTT A NICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 314-1314
(843) 314-1307
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21193
SC
208000000X
Pediatrics Physician
21193
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211933
—
SC
Enumeration date
08/15/2005
Last updated
11/13/2025
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