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Theodore Nicholson, MD
Emergency Medicine Physician in Carrollton, Georgia
NPI 1275590051

Theodore Nicholson is a Emergency Medicine Physician based in Villa Rica, GA. Theodore Nicholson practices in Carrollton, GA and has the professional credentials of MD. The NPI Number for Theodore Nicholson is 1275590051 and holds a License No. 029920 (Georgia).

The current practice location address for Theodore Nicholson is 705 Dixie St, Carrollton, GA and can be reached out via phone at 770-836-9666.

Location: 705 Dixie St, Carrollton, GA, 30180-9733
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Provider Profile Details
NPI Number
1275590051
Provider Name
Theodore Nicholson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
705 Dixie St, Carrollton, GA, 30180-9733
Phone Number
770-836-9666
Fax Number
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000390288B 05 GA
institution
Provider Business Practice Location Address Details
Address
705 Dixie St
City
State
Zip
30117-3818
Phone Number
770-836-9666
Fax Number
person
Provider Business Mailing Address Details
Address
705 Dixie St
City
State
Zip
30117-3818
Phone Number
770-836-9666
Fax Number
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
License No.
029920 (Georgia)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
License No.
029920 (Georgia)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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