Brian Nichols LAT, ATC

NPI 1255607610 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1255607610
Gender Male
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
605 TRUNECEK CIRCLE
RALEIGH NC, 27603, US
Phone (919) 368-6359
Fax
Business Location
605 TRUNECEK CIRCLE
RALEIGH NC, 27603, US
Phone (919) 368-6359
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State North Carolina
License Number 1738
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According to our database, Brian Nichols LAT, ATC NPI is 1255607610, taxonomy code is 2255A2300X and license number is 1738, license state is located at North Carolina. Brian Nichols LAT, ATC physically located at 605 Trunecek Circle, Raleigh NC, 27603. NPI Number Brian Nichols LAT, ATC has the Individual type.

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1255607610 NPI number is provided on an as is basis without warranty of any kind. 1255607610 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Nichols LAT, ATC are for informational purposes only.