Nichols, Memorie Morgan
Nichols, Memorie Morgan is an individual health care provider with primary practice located at 1279 Highway 54 W Suite 210, Fayetteville GA 30214-4550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nichols, Memorie Morgan can be contacted via phone (770) 719-5710.Contact Information
Primary practice address
1279 Highway 54 W Suite 210
Fayetteville GA 30214-4550
Phone: (770) 719-5710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005320 | Georgia |
Profile Details
| NPI number | 1144491937 |
|---|---|
| LBN Legal business name | Nichols, Memorie Morgan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Oct 28th, 2016 - about 10 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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