Individual
TIMOTHY S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BATTLEFIELD BLVD N, EMERGENCY DEPARTMENT, CHESAPEAKE, VA 23320-4941
(757) 312-6200
(757) 312-6181
Mailing address
109 G GAINSBOROUGH SQUARE, BOX 723, CHESAPEAKE, VA 23320
(757) 490-9388
(757) 490-9401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101242440
VA
207P00000X
Emergency Medicine Physician
MD070350L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015337T83
MEDICARE
VA
05
—
1205864675
—
VA
01
—
P00470490
RR MEDICARE
VA
Enumeration date
06/28/2006
Last updated
07/26/2024
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