COLBY LAKE NICHOLSON

LAGRANGE, GA
NPI1558953737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN259729)
Enumeration Date2021-02-09
Last Update Date2021-02-09
Business Address
Mr. COLBY LAKE NICHOLSON FNP-C
309 VERNON ST
LAGRANGE, GA 30240-3162
Phone number: 706-885-9110
Mailing Address
Mr. COLBY LAKE NICHOLSON FNP-C
110 LAKEMONT CT
LAGRANGE, GA 30240-7791
Phone number: 706-289-5132
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