Individual
DONALD ERIC NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
201 TURNER MCCALL BLVD NW, ROME, GA 30165-2545
(706) 236-2758
(706) 802-1408
Mailing address
PO BOX 949, ROME, GA 30162-0949
(706) 236-2758
(706) 802-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0001732
GA
Other
Enumeration date
11/06/2006
Last updated
10/22/2007
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