Nichols, Lisa

Nichols, Lisa is an individual health care provider with primary practice located at 1220 W Wheeler Pkwy , Augusta GA 30909-6625. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Nichols, Lisa can be contacted via phone (404) 422-6747.

Contact Information

Primary practice address
1220 W Wheeler Pkwy Augusta GA 30909-6625
Phone: (404) 422-6747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 26214261 Georgia

Profile Details

NPI number 1376924746
LBN Legal business name Nichols, Lisa
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 11 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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