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1306945639
FENWICK T. NICHOLS
AUGUSTA, GA
NPI
1306945639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: GA 020585)
Enumeration Date
2006-09-22
Last Update Date
2014-02-21
Business Address
-- FENWICK T. NICHOLS MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4581
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Mailing Address
-- FENWICK T. NICHOLS MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2650
Phone number: 706-828-6410
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