Individual
KARL A. NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
655 7TH ST, ROBINS AFB, GA 31098-2227
(478) 327-8487
Mailing address
655 7TH ST, ROBINS AFB, GA 31098-2227
(478) 327-8487
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0102206324
VA
2083X0100X
Occupational Medicine Physician
Primary
13007622-1204
UT
208D00000X
General Practice Physician
0102206324
VA
Other
Enumeration date
05/09/2019
Last updated
07/24/2024
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