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1518055334
RANDALL WAYNE NICHOLS
DOTHAN, AL
NPI
1518055334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: AL 9258)
Enumeration Date
2006-10-10
Last Update Date
2017-05-08
Business Address
-- RANDALL WAYNE NICHOLS M.D.
2431 W MAIN ST SUITE 1001
DOTHAN, AL 36301-1217
Phone number: 334-677-6220
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Mailing Address
-- RANDALL WAYNE NICHOLS M.D.
PO BOX 6188
DOTHAN, AL 36302-6188
Phone number: 334-677-6220
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