Mr. Derek Nathaniel Nikolaus
Mr. Derek Nathaniel Nikolaus is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
743 Spring St NEGainesville, GA 30501-3715
Phone: (770) 219-9000
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1467248187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2025 |
| Last updated in NPPES | April 18, 2025 |
| Certification date | April 18, 2025 |
| Mailing address | 693 Shadden Rd, Johnson City, TN 37615-4285 |
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