Individual
TODD A. NICKLOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1932 ALCOA HWY, STE 270, KNOXVILLE, TN 37920-1527
(865) 544-9433
(865) 544-8688
Mailing address
1932 ALCOA HWY, STE 270, KNOXVILLE, TN 37920-1527
(865) 251-4658
(865) 251-4659
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
DO0000001327
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3306124
—
TN
Enumeration date
06/14/2006
Last updated
04/12/2019
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