Doctor Name: | JOHN CAPEHART NICHOLLS |
NPI Number: | 1174741920 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 2007-00559 |
Business Practice Address: | 262 Leroy George Dr Clyde, NC - 287217430 |
Business Phone Number: | 8284528651 |
Business Fax Number: | 8284528393 |
Mailing Address: | 262 Leroy George Dr, CLYDE |
State: | NC |
Postal Code: | 287217430 |
Phone Number: | 8284528651 |
Fax Number: | 8284528393 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 06/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 2007-00559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |