Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TODD R NICHOLSON, P.A.
Active Sole ProprietorTODD R NICHOLSON, P.A. is a Medical Physician Assistant healthcare provider located in VASS, North Carolina. NPI 1396749032 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · VASS, NC
Registration Details
- NPI Number
- 1396749032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.171262527308 yrs)
- Last Updated
- Dec 22, 2010
- License
-
103000 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3349 US HWY 1VASS, NC, 28394Browse NC providers · Browse ZIP 28394
- Phone
- 9102457678
- Fax
- 9102451444
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.