Nickson Henry O.D.

NPI 1043247380 - Optometrist - 152W00000X

NPI Details
NPI 1043247380
Gender Male
Enumeration Date 06/26/2006
Last Updated 09/03/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
3564 HIGHWAY 138 SE
STOCKBRIDGE GA, 30281-4170, US
Phone (770) 474-5617
Fax (770) 474-6576
Business Location
3564 HIGHWAY 138 SE
STOCKBRIDGE GA, 30281-4170, US
Phone (770) 474-5617
Fax (770) 474-6576
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number 2263
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According to our database, Dr. Nickson Henry O.D. NPI is 1043247380, taxonomy code is 152W00000X and license number is 2263, license state is located at Georgia. Nickson Henry O.D. physically located at 3564 Highway 138 Se, Stockbridge GA, 30281-4170. NPI Number Nickson Henry O.D. has the Individual type.

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1043247380 NPI number is provided on an as is basis without warranty of any kind. 1043247380 is maintained by the National Plan & Provider Enumeration System. The contents of Nickson Henry O.D. are for informational purposes only.