DR. Carroll John Nickle, D.O.

NPI #1497757108 in Virginia Beach, Virginia

Provider Information

NPI Number
1497757108
Entity Type
Individual
Name
DR. Carroll John Nickle, D.O.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Preventive Medicine - Aerospace Medicine
Credential
D.O.
Enumeration Date
Aug 12, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1224 CHATTINGHAM DR
ZIP Code
23464-5836
Phone
(757) 495-2719

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Aerospace MedicineAerospace Medicine

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