Nichols, Clay A.

Nichols, Clay A. is an individual health care provider with primary practice located at 600 Moye Blvd Ecu Physicians Pathology, Greenville NC 27834-4300. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Forensic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is his primary health care specialty. Nichols, Clay A. can be contacted via phone (252) 744-2803.

Contact Information

Primary practice address
600 Moye Blvd Ecu Physicians Pathology Greenville NC 27834-4300
Phone: (252) 744-2803
Fax: (252) 744-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13038 South Carolina
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 2011-00202 North Carolina

Profile Details

NPI number 1396715157
LBN Legal business name Nichols, Clay A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jun 27th, 2014 - 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 1396715157 NPPES
North Carolina MEDICAID 1396715157
North Carolina Other 185CZ
North Carolina MEDICAID GP3481
North Carolina Other 010678285

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