Nicole Gollotte
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):