Individual
ANDREW DAVID NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1932 ALCOA HWY STE C360, KNOXVILLE, TN 37920-1509
(865) 558-0225
(865) 540-3857
Mailing address
PO BOX 11167, KNOXVILLE, TN 37939-1167
(865) 584-7376
(865) 540-3856
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101261859
VA
207T00000X
Neurological Surgery Physician
59886
TN
2085R0202X
Diagnostic Radiology Physician
0101261859
VA
2085R0202X
Diagnostic Radiology Physician
Primary
59886
TN
2085R0202X
Diagnostic Radiology Physician
CDR.0001425
CO
2085R0204X
Vascular & Interventional Radiology Physician
ME172614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128439400
—
FL
05
—
9000188520
—
CO
01
—
V8349
HFMG
FL
Enumeration date
05/18/2009
Last updated
11/12/2025
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