Randall W. Nichols M D , PC

NPI #1164665188 in Dothan, Alabama

Provider Information

NPI Number: 1164665188
Entity Type: Organization
Organization Name: Randall W. Nichols M D , PC
Primary Specialty: Surgery
Enumeration Date: Apr 7, 2009
Last Updated: Apr 7, 2009

Practice Location

Address: 112 HAVEN DR
Address 2: SUITE 2
City: Dothan
State: Alabama
ZIP Code: 36301-2957
Phone: (334) 677-6220

Authorized Official

Name: GERALDINE LEWIS
Title: OFFICE MANAGER
Phone: (334) 677-6220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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