Dr. George Richard Nichols
MOHS-Micrographic Surgeon
303 N Keene St Suite 201
Columbia
, Missouri 65201-7193
Dr. George Richard Nichols
MOHS-Micrographic Surgeon
303 N Keene St Suite 201
Columbia
, Missouri 65201-7193
(573) 442-7899
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. George Richard Nichols
- 303 N Keene St Suite 201
- Columbia, MO
- Zip : 65201-7193
- Fax : (573) 442-7899
- Phone : (573) 876-1000
Second Address
- Dr. George Richard Nichols
- 303 N Keene St Suite 201
- Columbia, MO
- Zip : 65201-7193
- Fax : (573) 442-7899
- Phone : (573) 876-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 2008016028 | MO |
National Provider Identifier
| NPI | 1073730693 |
|---|---|
| Provider Name | Dr. George Richard Nichols |
| First Address | Columbia, MO 65201-7193 |
| Second Address | Columbia, MO 65201-7193 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 04/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2008016028 | STATE LICENSE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.