Individual
DR. ERIC CHARLES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST STE 300, CHATTANOOGA, TN 37403-2187
(423) 267-0466
(423) 757-0770
Mailing address
979 E 3RD ST STE 300, CHATTANOOGA, TN 37403-2187
(423) 267-0466
(423) 757-0770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
48252
TN
208C00000X
Colon & Rectal Surgery Physician
Primary
MD48252
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135926A
—
GA
05
—
153664
—
AL
01
—
4354499
BCBS
TN
01
—
P01276012
RR MEDICARE
—
05
—
Q002628
—
TN
Enumeration date
05/20/2008
Last updated
02/18/2019
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