Search › Georgia › 2251P0200X
Theresa Nicholson, DPT
NPI 1336891183 · on the registry since 2022
Practice
- Address
- 2107 N Decatur Rd Unit 506
Decatur, GA 30033 - Phone
- (470) 831-4049
- Fax
- (770) 626-0089
- Organisation at this address
- Lily Pham
National Prescription
Biologic Behavioral Llc
Decatur Medical Supplies
Rand Speech Pathology LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1240 Highway 54 W Ste 404, Fayetteville, GA
Registry record
- Primary taxonomy
- 2251P0200X
2251P0200X
- Also registered as
- 2251X0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia