James Alan Nicholson MD

NPI 1649414913 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1649414913
Gender Male
Enumeration Date 04/29/2009
Last Updated 04/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
7950 MARTIN LOOP
FORT BENNING GA, 31905-5647, US
Phone (706) 544-1556
Fax (705) 544-4040
Business Location
7950 MARTIN LOOP
FORT BENNING GA, 31905-5647, US
Phone (706) 341-0094
Fax (706) 544-4040
Toxanomy
Taxonomy Code 390200000X
License State Ohio
License Number 093378
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According to our database, Dr. James Alan Nicholson MD NPI is 1649414913, taxonomy code is 390200000X and license number is 093378, license state is located at Ohio. James Alan Nicholson MD physically located at 7950 Martin Loop, Fort Benning GA, 31905-5647. NPI Number James Alan Nicholson MD has the Individual type.

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1649414913 NPI number is provided on an as is basis without warranty of any kind. 1649414913 is maintained by the National Plan & Provider Enumeration System. The contents of James Alan Nicholson MD are for informational purposes only.