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NPI Code Detail

MEDICARE: DR. NICHOLAS FREDERICK VOSS MD

MEDICARE: DR. NICHOLAS FREDERICK VOSS MD
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
1207T00000XNeurological Surgery Physician23246AL

General Provider Information

NPI Number : 1497750012
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS FREDERICK VOSS MD
Provider Business Mailing Address
First Line : PO BOX 6599
Second Line :
City : DOTHAN
State : AL
Zip : 36302-6599
Country : US
Telephone Number : 334-944-7073
Fax Number : 334-944-7058
Provider Business Practice Location Address
First Line : 4300 W MAIN ST STE 405
Second Line :
City : DOTHAN
State : AL
Zip : 36305-1086
Country : US
Telephone Number : 334-944-7073
Fax Number : 334-944-7058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/04/2021

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