Nicholls, Melanie P.

Nicholls, Melanie P. is an individual health care provider with primary practice located at 210 Westside Dr , Dothan AL 36303-1928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nicholls, Melanie P. can be contacted via phone (334) 793-5074.

Contact Information

Primary practice address
210 Westside Dr Dothan AL 36303-1928
Fax: (334) 793-6460
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25418 Alabama

Profile Details

NPI number 1841293792
LBN Legal business name Nicholls, Melanie P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 14th, 2009 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841293792 NPPES
Alabama MEDICAID 009926185
Alabama Other P00045558

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