Glenn W Nichols, MD Valid NPI
Individual provider · Specialist · Chesapeake, VA
- NPI
- 1831167675
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 0101036679 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-03-09
- Last updated
- 2007-07-08
Practice location
200 Medical Pkwy, Suite 111
Chesapeake, VA 23320-4911
(757) 547-9301