Individual provider · Type 1 NPI

Samuel Douglas Nicol

Student in an Organized Health Care Education/Training Program · Athens, GA

NPI number 1730661679 Active

Practice location

330 River Rd
Athens, GA 30602-1538

Call (470) 991-3761 Map

Mailing address

1000 Lakeside Dr Apt 150
Athens, GA 30605-5925

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730661679

Samuel Douglas Nicol's National Provider Identifier is 1730661679, issued on Sep 6, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, GA. The record was last updated on Sep 6, 2018.