Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARROLL JOHN NICKLE, D.O.
ActiveDR. CARROLL JOHN NICKLE, D.O. is a 2083A0100X healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1497757108 is currently active in the NPPES registry. Verify at CMS.
2083A0100X · VIRGINIA BEACH, VA
Registration Details
- NPI Number
- 1497757108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (20.965881293882 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19464 (CO)
Practice Information
- Address
-
1224 CHATTINGHAM DRVIRGINIA BEACH, VA, 234645836Browse VA providers · Browse ZIP 23464
- Phone
- 7574952719
- Primary Specialty
-
2083A0100X
2083A0100X
Other 2083A0100X Providers in VIRGINIA BEACH, VA
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN EUGENE BROOKS | M.D. M.P.H. | 1659341105 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.