Individual
DR. ALLEN BRYANT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12720 MCMANUS BLVD, SUITE 201, NEWPORT NEWS, VA 23602-4414
(757) 875-5332
(757) 874-1545
Mailing address
12720 MCMANUS BLVD, #201, NEWPORT NEWS, VA 23602-4414
(757) 875-5332
(757) 874-1545
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101036628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010130409
—
VA
Enumeration date
02/13/2007
Last updated
03/25/2011
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