person
Dr. Charles Daniel Nicoli, MD
General Practice Physician in Camp Lejeune, North Carolina
NPI 1801424080

Charles Daniel Nicoli is a General Practice Physician based in Camp Lejeune, NC. Charles Daniel Nicoli practices in Camp Lejeune, NC and has the professional credentials of MD. The NPI Number for Charles Daniel Nicoli is 1801424080 and holds a License No. 0101272938 (North Carolina).

The current practice location address for Charles Daniel Nicoli is 2D Reconnaissance Battalion Attn: Bas, Camp Lejeune, NC and can be reached out via phone at 910-440-7703.

Location: 2D Reconnaissance Battalion Attn: Bas, Camp Lejeune, NC, 28542-0138
person
Provider Profile Details
NPI Number
1801424080
Provider Name
Charles Daniel Nicoli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2D Reconnaissance Battalion Attn: Bas, Camp Lejeune, NC, 28542-0138
Phone Number
910-440-7703
Fax Number
Provider Enumeration Date
04/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2D Reconnaissance Battalion Attn: Bas
City
State
Zip
28542
Phone Number
910-440-7703
Fax Number
person
Provider Business Mailing Address Details
Address
2D Reconnaissance Battalion Attn: Bas
City
State
Zip
28542
Phone Number
910-440-7703
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
0101272938 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0101272938 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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