Provider Demographics
NPI:1841355963
Name:NICHOLS, MARGARET FAYE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:FAYE
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3043
Mailing Address - Country:US
Mailing Address - Phone:404-873-5510
Mailing Address - Fax:
Practice Address - Street 1:1447 PEACHTREE ST NE
Practice Address - Street 2:SUITE 800
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3043
Practice Address - Country:US
Practice Address - Phone:404-873-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY000430103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S70207Medicare UPIN
GA68BBFKZMedicare ID - Type Unspecified