Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DAVID NICKERSON JR., M.D.
Active Sole ProprietorDR. MICHAEL DAVID NICKERSON JR., M.D. is a Anesthesiology healthcare provider located in FORT LIBERTY, North Carolina. NPI 1790927671 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1790927671
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2009 (17.434775893709 yrs)
- Last Updated
- Jan 1, 2025
- Licenses
-
Q4227 (TX)0101246915 (VA)2019-02595 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 ROCK MERRITT AVE STOP AFORT LIBERTY, NC, 283107394Browse NC providers · Browse ZIP 28310
- Phone
- 9109082318
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in FORT LIBERTY, NC
| Name | Credential | NPI |
|---|---|---|
| ANTHONY PLUNKETT | — | 1295916104 |
| AMY HENIGER | — | 1083008023 |
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.