Nicholas John Thibault, PA-C
NPI #1043612070 in Sneads Ferry, North Carolina
Provider Information
- NPI Number
- 1043612070
- Entity Type
- Individual
- Name
- Nicholas John Thibault, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 22, 2014
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- 141 REGATTA WAY
- City
- Sneads Ferry
- State
- North Carolina
- ZIP Code
- 28460-6100
- Phone
- (219) 689-8493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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