DEREK NATHANIEL NIKOLAUS

GAINESVILLE, GA
NPI1467248187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-18
Last Update Date2025-04-18
Business Address
Mr. DEREK NATHANIEL NIKOLAUS
743 SPRING ST NE
GAINESVILLE, GA 30501-3715
Phone number: 770-219-9000
Mailing Address
Mr. DEREK NATHANIEL NIKOLAUS
693 SHADDEN RD
JOHNSON CITY, TN 37615-4285
Phone number: 281-224-0235