Individual
JOSEPH L NELSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3400
(540) 725-5016
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4692
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101031349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006097821
—
VA
01
—
100009140
MC RAILROAD
—
05
—
1447238522
—
VA
01
—
260855
ANTHEM
—
Enumeration date
01/09/2006
Last updated
02/09/2022
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