Individual
BRENDA PITTMAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 OLD WEISGARBER RD, SUTIE 200, KNOXVILLE, TN 37909-1292
(865) 934-5800
(865) 934-5801
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0998
(865) 544-1861
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
37952
KY
207RH0003X
Hematology & Oncology Physician
9400654
NC
207RH0003X
Hematology & Oncology Physician
Primary
MD0000026965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3823592
—
TN
05
—
64721392
—
KY
Enumeration date
07/26/2005
Last updated
03/02/2011
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