person
Todd R Nicholson, PA
Medical Physician Assistant in Vass, North Carolina
NPI 1396749032

Todd R Nicholson is a Medical Physician Assistant based in Vass, NC and is specialized in Medical. Todd R Nicholson practices in Vass, NC and has the professional credentials of PA. The NPI Number for Todd R Nicholson is 1396749032 and holds a License No. 103000 (North Carolina).

The current practice location address for Todd R Nicholson is 3349 Us Hwy 1, Vass, NC and can be reached out via phone at 910-245-7678 and via fax at 910-245-1444.

Location: 3349 Us Hwy 1, Vass, NC, 28394-0647
person
Provider Profile Details
NPI Number
1396749032
Provider Name
Todd R Nicholson
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3349 Us Hwy 1, Vass, NC, 28394-0647
Phone Number
910-245-7678
Fax Number
910-245-1444
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89014UP 05 NC
institution
Provider Business Practice Location Address Details
Address
3349 Us Hwy 1
City
State
Zip
28394
Phone Number
910-245-7678
Fax Number
910-245-1444
person
Provider Business Mailing Address Details
Address
3349 Us Hwy 1
City
State
Zip
28394
Phone Number
910-245-7678
Fax Number
910-245-1444
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
103000 (North Carolina)
Definition
Definition to come...
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