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Contact Information

ANGELA E NICHOLAS
1909 SUMMERCOURT DR BLDG 19
JONESBORO, GA30236-1525
 Phone: 404-820-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for ANGELA E NICHOLAS · (Female)

NPI # 1124987664
Status Active
Credentials
Entity Individual
Enumeration date 01/20/2026
Last updated 01/20/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 055633269
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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