Doctor Name: | MR. JAMES C NICHOLS |
NPI Number: | 1043241763 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C. |
License Number: | 100825 |
Business Practice Address: | 4 Turnberry Wood Braemar Ct Pinehurst, NC - 28374 |
Business Phone Number: | 9106923144 |
Business Fax Number: | 9106922261 |
Mailing Address: | Po Box 660, SOUTHERN PINES |
State: | NC |
Postal Code: | 283880660 |
Phone Number: | 9106923144 |
Fax Number: | 9106922261 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 100825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |