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Dr. Glenn W Nichols, MD
Specialist in Chesapeake, Virginia
NPI 1831167675

Glenn W Nichols is a Specialist based in Chesapeake, VA. Glenn W Nichols practices in Chesapeake, VA and has the professional credentials of MD. The NPI Number for Glenn W Nichols is 1831167675 and holds a License No. 0101036679 (Virginia).

The current practice location address for Glenn W Nichols is 200 Medical Pkwy, Chesapeake, VA and can be reached out via phone at 757-547-9301 and via fax at 757-548-9263.

Location: 200 Medical Pkwy, Chesapeake, VA, 23320-4911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831167675
Provider Name
Glenn W Nichols
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Medical Pkwy, Chesapeake, VA, 23320-4911
Phone Number
757-547-9301
Fax Number
757-548-9263
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
140351 01 VA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
200 Medical Pkwy
City
Chesapeake
State
Virginia
Zip
23320-4911
Phone Number
757-547-9301
Fax Number
757-548-9263
person
Provider Business Mailing Address Details
Address
200 Medical Pkwy
City
Chesapeake
State
Virginia
Zip
23320-4911
Phone Number
757-547-9301
Fax Number
757-548-9263
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101036679 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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