Dr CHRISTOPHER W NICKUM is a male medical professional, specializing in Physician Assistant. He graduated in 1996.
WELLSTAR MEDICAL GROUP, LLC
3000 HOSPITAL BLVD
ROSWELL
GA
300764915
Tel: 7707512912
| Npi | 1942260302 |
| Pac Id | 3971668690 |
| Professional Enrollment Id | I20090212000620 |
| Last Name | NICKUM |
| First Name | CHRISTOPHER |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Group Practice Pac Id | 6709065402 |
| Number Of Group Practice Members | 1264 |
| Line 1 Street Address | 3000 HOSPITAL BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ROSWELL |
| State | GA |
| Zip Code | 300764915 |
| Phone Number | 7707512912 |
| Hospital Affiliation Ccn 1 | 110198 |
| Hospital Affiliation Lbn 1 | WELLSTAR NORTH FULTON HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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