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1558641670
LILLIAN MISHELLE NICKS
GREENVILLE, SC
NPI
1558641670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 17527)
Enumeration Date
2011-08-20
Last Update Date
2016-12-01
Business Address
Mrs. LILLIAN MISHELLE NICKS FNP
104 INNOVATION DR SUITE 2000
GREENVILLE, SC 29607-5253
Phone number: 864-603-6300
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Mailing Address
Mrs. LILLIAN MISHELLE NICKS FNP
PO BOX 743294
ATLANTA, GA 30374-3294
Phone number: 864-603-6300
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