Individual
MR. NICHOLAS CODY MENDHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
(334) 836-1888
Mailing address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
(334) 836-1888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-110454
AL
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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