GARY GLENN NICHOLS

NORTH WILKESBORO, NC
NPI1316936156
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  100253)
Enumeration Date2005-10-14
Last Update Date2017-08-01
Business Address
-- GARY GLENN NICHOLS P.A.
1404 WILLOW LN
NORTH WILKESBORO, NC 28659-3584
Phone number: 336-667-0335
Mailing Address
-- GARY GLENN NICHOLS P.A.
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2011