| Thomas M Nichols, CRNA | |
|
4800 48th St, Valley, AL 36854-3666 | |
| (334) 756-1848 | |
| (334) 756-1854 |
| Full Name | Thomas M Nichols |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4800 48th St, Valley, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053369934 | NPI | - | NPPES |
| 043495579A | Medicaid | GA | |
| 1053369934 | Other | AL | TRICARE |
| 051517975 | Medicaid | AL | |
| P00093299 | Other | AL | RAILROAD MEDICARE |
| 51517975 | Other | AL | BCBSAL PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-059468 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Nichols, CRNA Po Box 661495, Birmingham, AL 35266-1495 Ph: (205) 979-5882 | Thomas M Nichols, CRNA 4800 48th St, Valley, AL 36854-3666 Ph: (334) 756-1848 |
Mr. Gary Russell Mills, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 256-283-7878 | |
Heather Laconya Veal Fields, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 | |
Charles Derrick Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 | |
James M Henderson Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4800 48th St, Valley, AL 36854 Phone: 334-756-1848 Fax: 334-756-1854 |