1508802778

Everything you always wanted to know about DR. NICHOLS A HAROLD MD but were afraid to ask.

DR. NICHOLS A HAROLD MD

You can also download the this 1508802778 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. NICHOLS A HAROLD MD
Gender:
Male
Enumeration date:
2006-06-22
Last update date:
2007-07-09
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
203482B Medicare ID-Type Undpecified MEDICARE NC
8962541 Medicaid none NC
C81877 Medicare UPIN none none

Taxonomies

Taxonomy State License Number Primary?
2085R0204X Vascular & Interventional Radiology NC 22315

Phone Numbers

Type Number
Mailing Address Telephone Number 3368328014
Practice Location Address Telephone Number 3368320970

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 26580 NORTH ELAM MEDICAL PLAZA GREENSBORO NC 27415 NC
Practice Location Address 509D N ELAM AVE GREENSBORO NC 27403 NC

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1295882124 PEARSON, DONNA
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