Individual
DR. CHARLES WILLIAM NICHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 FREEDOM WAY, VA MEDICAL CENTER RU -28 ADR, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 481-6798
Mailing address
1 FREEDOM WAY, VA MEDICAL CENTER RU -28 ADR, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 481-6798
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001530
GA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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