Nichols, James Brogdon
Nichols, James Brogdon is an individual health care provider with primary practice located at 3911 S Highway 14 , Greenville SC 29615-6138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nichols, James Brogdon can be contacted via phone (864) 297-8890.Contact Information
Primary practice address
3911 S Highway 14
Greenville SC 29615-6138
Phone: (864) 297-8890
Fax: (864) 297-5273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18800 | South Carolina |
Profile Details
| NPI number | 1598709065 |
|---|---|
| LBN Legal business name | Nichols, James Brogdon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 25th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598709065 | NPPES |
| South Carolina | MEDICAID | 188004 |
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