Individual
CHRISTOPHER JAMES NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 PEACHTREE ST NE STE 1135, ATLANTA, GA 30308-2234
(404) 778-3381
Mailing address
550 PEACHTREE ST NE STE 1135, ATLANTA, GA 30308-2234
(404) 778-3381
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
85394
GA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME151039
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YH196
BCBS
FL
Enumeration date
04/08/2015
Last updated
08/12/2021
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