NPI 1851919856

Wyatt V Nicholson

Practitioner Clinical Exercise Physiologist Demorest, GA

Practice location

Address: 541 Historic Hwy. 441-N, Demorest, GA 30535
Phone: (706) 754-3113
Mailing address: PO Box 1741, Clarkesville, GA 30523-0030

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1851919856
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2020
Record last updated: 7 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.