Individual
JOHN DOUG NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31342
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
31342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62098
BCBSNC
NC
05
—
8962098
—
NC
Enumeration date
01/11/2006
Last updated
12/07/2016
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