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Brady Wilson Nichols, MD
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1750842761

Brady Wilson Nichols is a Student in an Organized Health Care Education/Training Program based in West Columbia, NC. Brady Wilson Nichols practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Brady Wilson Nichols is 1750842761 and holds a License No. 2022-01793 (North Carolina).

The current practice location address for Brady Wilson Nichols is 1920 W 1St St, Winston Salem, NC and can be reached out via phone at 336-716-4479.

Location: 1920 W 1St St, Winston Salem, NC, 29172-2587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750842761
Provider Name
Brady Wilson Nichols
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1920 W 1St St, Winston Salem, NC, 29172-2587
Phone Number
336-716-4479
Fax Number
Provider Enumeration Date
03/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1920 W 1St St
City
Winston Salem
State
North Carolina
Zip
27104-4220
Phone Number
336-716-4479
Fax Number
person
Provider Business Mailing Address Details
Address
1920 W 1St St
City
Winston Salem
State
North Carolina
Zip
27104-4220
Phone Number
336-716-4479
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2022-01793 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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