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1457314015
TIMOTHY A NICHOLLS
SHREVEPORT, LA
NPI
1457314015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 018515)
Enumeration Date
2006-04-06
Last Update Date
2007-11-15
Business Address
-- TIMOTHY A NICHOLLS MD
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
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Mailing Address
-- TIMOTHY A NICHOLLS MD
2551 GREENWOOD RD SUITE 410
SHREVEPORT, LA 71103-3981
Phone number: 318-621-2929
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