Nichols, Michelle

Nichols, Michelle is an sole proprietor health care provider with primary practice located at 455 Lee St Sw , Atlanta GA 30310-1408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nichols, Michelle can be contacted via phone (404) 752-1000.

Contact Information

Primary practice address
455 Lee St Sw Atlanta GA 30310-1408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 038890 Georgia

Profile Details

NPI number 1760482780
LBN Legal business name Nichols, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Jul 6th, 2021 - about 5 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 1760482780 NPPES
Georgia MEDICAID 000655421A

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