SAMUEL DOUGLAS NICOL

ATHENS, GA
NPI1730661679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-09-06
Last Update Date2018-09-06
Business Address
SAMUEL DOUGLAS NICOL
330 RIVER RD
ATHENS, GA 30602-1538
Phone number: 470-991-3761
Mailing Address
SAMUEL DOUGLAS NICOL
1000 LAKESIDE DR APT 150
ATHENS, GA 30605-5925
Phone number: 470-991-3761