Individual
DR. SAMUEL WALKER NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Mailing address
2890 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-6600
(843) 820-1440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
TL32770
SC
208800000X
Urology Physician
Primary
TL32770
SC
Other
Enumeration date
06/22/2010
Last updated
09/16/2015
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