Individual
DR. ANDREW KARL NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
854 W JAMES M CAMPBELL BLVD STE 403, COLUMBIA, TN 38401-4659
(931) 380-0075
(931) 388-7502
Mailing address
854 W JAMES M CAMPBELL BLVD STE 303, COLUMBIA, TN 38401-4672
(931) 380-0075
(931) 388-7502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57809
TN
208000000X
Pediatrics Physician
57809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
Enumeration date
06/25/2013
Last updated
02/07/2019
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