LISA NICHOLS

AUGUSTA, GA
NPI1376924746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  26214261)
Enumeration Date2015-06-11
Last Update Date2015-06-11
Business Address
-- LISA NICHOLS ATC
1220 W WHEELER PKWY
AUGUSTA, GA 30909-6625
Phone number: 404-422-6747
Mailing Address
-- LISA NICHOLS ATC
2933 HENRY ST #27
AUGUSTA, GA 30909-3877
Phone number: 404-422-6747