MS. Pamela Jo Nichols, CNMT

NPI #1548394653 in Athens, Georgia

Provider Information

NPI Number: 1548394653
Entity Type: Individual
Name: MS. Pamela Jo Nichols, CNMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CNMT
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2350 PRINCE AVE
Address 2: STE 5
City: Athens
State: Georgia
ZIP Code: 30606-6031
Phone: (770) 317-6959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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