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1023758950
NICHOLAS HEADDEN
COLUMBIA, SC
NPI
1023758950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC LL88165)
Enumeration Date
2022-03-30
Last Update Date
2022-07-08
Business Address
NICHOLAS HEADDEN
15 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6843
Phone number: 803-434-1433
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Mailing Address
NICHOLAS HEADDEN
15 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 29203-6843
Phone number:
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