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Nicole Gollotte

  • Female

Medical Specialty

Professional ID

  • NPI: 1992110043
  • PECOS ID: 6406170786
  • Enrollment ID: I20150114001519
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2014

Hospital Service

  • Hospital CCN1: 010090
  • Business Name (LBN)1: Providence Hospital
  • Hospital CCN2: 010144
  • Business Name (LBN)2: Springhill Memorial Hospital
  • Hospital CCN3: 010113
  • Business Name (LBN)3: Mobile Infirmary Medical Center

Medical Practices

  • Organization Name: Cardio-thoracic And Vascular Surgical Associates Pc
  • Group Practice ID assigned by PECOS: 0042293334
  • Number of Group Practice member: 20

Location

  • Address1: 1855 Spring Hill Ave
  • Address2:
  • City: Mobile
  • State: Alabama
  • Zip Code: 36607
  • Phone Number: (251)471-3544

Medical Practices

  • Organization Name: Wilmer Medical Clinic, Llc
  • Group Practice ID assigned by PECOS: 4385954379
  • Number of Group Practice member: 4

Location

  • Address1: 6353 2nd St
  • Address2:
  • City: Wilmer
  • State: Alabama
  • Zip Code: 36587
  • Phone Number: (251)865-1852

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):