Individual provider · Type 1 NPI
Todd R. Nicholson, P.A.
Medical Physician Assistant · Vass, NC
NPI number
1396749032
Active
Practice location
3349 US Hwy 1
Vass, NC 28394
Fax (910) 245-1444
Mailing address
PO Box 647
Vass, NC 28394-0647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 103000 (NC) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1396749032
Todd R. Nicholson, P.A.'s National Provider Identifier is 1396749032, issued on Jun 10, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vass, NC. The record was last updated on Dec 22, 2010.