Provider Demographics
NPI:1659319010
Name:NICOLA, PAULA CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:CHRISTINE
Last Name:NICOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:CHRISTINE
Other - Last Name:NICOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:979 E 3RD ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2136
Mailing Address - Country:US
Mailing Address - Phone:423-243-3330
Mailing Address - Fax:
Practice Address - Street 1:979 E 3RD ST STE 240
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-243-3330
Practice Address - Fax:423-648-6487
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000379702083A0300X
TNMD0000037970207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty