Provider Demographics
NPI:1982993572
Name:FALLS, NICOLE MARGARET (MD)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:MARGARET
Last Name:FALLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1203 TROTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4886
Mailing Address - Country:US
Mailing Address - Phone:931-490-1295
Mailing Address - Fax:931-490-1298
Practice Address - Street 1:1203 TROTWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4886
Practice Address - Country:US
Practice Address - Phone:931-490-1295
Practice Address - Fax:931-490-1298
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT199403207V00000X
PAMD4054451207V00000X
TN52800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology