Dr. Nicole Ellyn Lock
DO | Pediatrics | Female
Dr. Nicole Ellyn Lock, DO is a Augusta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Nicole Ellyn Lock is
1120 15th St, Augusta, Georgia - 30912-0004. She can be contacted on phone at
706-721-7005 and fax number 706-446-3546.
Dr. Nicole Ellyn Lock is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Nicole Ellyn Lock is
1396238093 which was assigned by NPPES on 08 Jun, 2018 and it was last updated on 11 Jul, 2021.
Dr. Nicole Ellyn Lock license number is
0116034904 for Pediatrics (208000000X) in Virginia.
Dr. Nicole Ellyn Lock is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Nicole Ellyn Lock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Nicole Ellyn Lock |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Dr. Nicole Ellyn Lock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 706-721-7005 |
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| Fax Number : | 706-446-3546 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1396238093 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jun, 2018 |
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| Last Updated On : | 11 Jul, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicole Ellyn Lock are as mentioned. Primary taxonomy code for Dr. Nicole Ellyn Lock, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0116034904 | VA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1215 Lee Street, Mailbox 800386
Charlottsville, VA, 22908-0816
United States |
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| Phone Number : | 434-924-5429 |
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| Fax Number : | 434-924-2816 |
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Business Location:
Patients can refer following map for directions to
Dr. Nicole Ellyn Lock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.