Individual
DR. DAVID P NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6002 BERRYHILL RD, MILTON, FL 32570-5062
(850) 416-6894
(850) 416-2487
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME27597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06535600
—
FL
Enumeration date
03/02/2006
Last updated
02/06/2008
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