Individual
NICOLAS CHEATHAM APPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 FISHER ST, KEESLER AFB, MS 39534-2502
(228) 376-0481
Mailing address
500 FISHER ST, KEESLER AFB, MS 39534-2502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2021-00679
NC
2085R0202X
Diagnostic Radiology Physician
27599
NE
2085R0202X
Diagnostic Radiology Physician
Primary
ME136873
FL
208D00000X
General Practice Physician
27599
NE
Other
Enumeration date
02/12/2012
Last updated
04/15/2021
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