Individual
MR. JOHN KEITH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 OAK ST, CHATTANOOGA, TN 37404-1717
(423) 717-1700
(866) 719-8717
Mailing address
2700 OAK ST, CHATTANOOGA, TN 37404-1717
(423) 417-1700
(866) 719-8717
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD29413
TN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
29413
TN
208100000X
Physical Medicine & Rehabilitation Physician
MD29413
TN
Other
Enumeration date
07/28/2005
Last updated
01/03/2022
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