| Nichols Med Eval, Llc | |
|
136 Rials Dr Many LA 71449-8109 | |
| (318) 575-9911 | |
| (318) 703-5760 |
| Full Name | Nichols Med Eval, Llc |
|---|---|
| Speciality | General Practice |
| Location | 136 Rials Dr, Many, Louisiana |
| Authorized Official Name and Position | James Thomas Nichols (MD/SOLE OWNER) |
| Authorized Official Contact | 3186176662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nichols Med Eval, Llc Po Box 5313 Shreveport LA 71135-5313 Ph: (318) 798-4664 | Nichols Med Eval, Llc 136 Rials Dr Many LA 71449-8109 Ph: (318) 575-9911 |
| NPI Number | 1720419450 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720419450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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