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Phedeline Nicholas
NPI 1750557187 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1746 Pleasant Hill Trl
Lithonia, GA 30058 - Phone
- (718) 519-7672
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-06
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