Individual
DR. KAYLA ANNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCCCP
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(904) 392-9588
Mailing address
361 17TH ST NW UNIT 2013, ATLANTA, GA 30363-1090
(904) 392-9588
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
RPH029229
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7152015
BOARD OF PHARMACY SPECIALTIES BCCCP
—
01
—
PS55118
FLORIDA PHARMACIST LICENSE
FL
01
—
RPH029229
GEORGIA PHARMACIST LICENSE
GA
Enumeration date
04/08/2020
Last updated
04/08/2020
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