Gary Glenn Nichols in Charlotte - Medical
Gary Glenn Nichols - NPI 1316936156
Gary Glenn Nichols is a Medical in Charlotte, North Carolina. Gary Glenn Nichols practices all healthcare services and medical treatments related to Medical. The NPI Number for Gary Glenn Nichols is 1316936156. The last update date is 2017-08-01.
Gary Glenn Nichols's current location address is Po Box 602658, Charlotte, North Carolina. You can contact this provider via phone number 3367162011. The mailing address for Gary Glenn Nichols is Po Box 602658, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Glenn Nichols |
|---|---|
| Address | Po Box 602658, Charlotte, North Carolina |
| Phone Number | 3367162011 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1316936156 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2017-08-01 |
Provider Mailing Address Detail
| Address | Po Box 602658 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282602658 |
| Phone Number | 3367162011 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 100253 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2750028C | NC | MEDICARE PTAN, INDIVIDUAL | |
| 5905127 | NE | -- | |
| 203994F | NC | MEDICARE GROUP | |
| 2335816 | NC | MEDICARE PTAN, GROUP |
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What is the unique identification code assigned to Gary Glenn Nichols by the Centers for Medicare & Medicaid Services?
The Gary Glenn Nichols has been issued the NPI (National Provider Identifier) 1316936156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Glenn Nichols?
The Gary Glenn Nichols is situated at Po Box 602658, in the city of Charlotte, state of NC, with the zip code 282602658.
What is the Gary Glenn Nichols's specialty and taxonomy code?
The Gary Glenn Nichols's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Gary Glenn Nichols receive its 1316936156?
The Gary Glenn Nichols was issued its 1316936156 on 2005-10-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Gary Glenn Nichols's details last updated?
The information pertaining to the Gary Glenn Nichols, including its address, specialty, and other details, was most recently updated on 2017-08-01.
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