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NPI Code Detail

MEDICARE: NICKI RENEE DOWNES DO

MEDICARE: NICKI RENEE DOWNES DO
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
1208600000XSurgery Physician2021-02648NC

General Provider Information

NPI Number : 1598147217
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICKI RENEE DOWNES DO
Provider Business Mailing Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number :
Provider Business Practice Location Address
First Line : 1850 W ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5704
Country : US
Telephone Number : 252-752-6101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2015
Last Update Date : 05/15/2026

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Directions to “ NICKI RENEE DOWNES DO” Practice Location

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