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NPI Code Detail

MEDICARE: NICHOLAS GUYS

MEDICARE: NICHOLAS GUYS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician64182TN
22085R0202XDiagnostic Radiology Physician2024-02812NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699338731
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS GUYS
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3623 LATROBE DR STE 216
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2117
Country : US
Telephone Number : 704-332-1291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 04/16/2026

Similar Medicare Providers

1760986178 — CATHERINE ELIZABETH POLITO PANICK MD
Practice Location Address:
3623 LATROBE DR STE 216
CHARLOTTE, NC
28211-2117
Practice Phone: 704-332-1291
Practice Fax:
1881127041 — DR. CHAD WILLIAM DOWNING M.D.
Practice Location Address:
3623 LATROBE DR STE 216
CHARLOTTE, NC
28211-2117
Practice Phone: 704-332-1291
Practice Fax:
1609372283 — DR. THOMAS ALLEN MEHURON III MD
Practice Location Address:
3623 LATROBE DR STE 216
CHARLOTTE, NC
28211-2117
Practice Phone: 704-332-1291
Practice Fax:
1104821412 — DR. FREDERICK MAST DULA JR. MD
Practice Location Address:
3623 LATROBE DR STE 216
CHARLOTTE, NC
28211-2117
Practice Phone: 704-332-1291
Practice Fax:
1275538449 — DR. JEFFREY JOHN RALSTON DO
Practice Location Address:
3623 LATROBE DR STE 216
CHARLOTTE, NC
28211-2117
Practice Phone: 704-332-1291
Practice Fax: 704-926-1832
1376548222 — DR. JAMES CLIFTON JOHNSON MD
Practice Location Address:
3623 LATROBE DR STE 216
CHARLOTTE, NC
28211-2117
Practice Phone: 704-332-1291
Practice Fax: 704-926-1832

Directions to “ NICHOLAS GUYS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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