Individual
DR. JEROME TAK NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 510-6200
(540) 857-5306
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
070145
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101261482
VA
208100000X
Physical Medicine & Rehabilitation Physician
TP934
KY
Other
Enumeration date
07/06/2007
Last updated
04/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us