SearchGeorgia225200000X

Jeremiah Nichols, PTA, LAT, ATC

NPI 1225784259 · on the registry since 2022 · sole proprietor

Practice

Address
147 Reinhardt College Pkwy Ste 9
Canton, GA 30114
Phone
(770) 345-3057
Organisation at this address
Prevosti Vein Center Llc
Nelson G. Woo, D.M.D., P.C.
Canton Institute For Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia