Organization
GERIATRIC CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DOUGLAS NELSON MD (PARTNER)
(828) 256-9853
Entity
Organization
Contact information
Practice address
3345 4TH STREET BLVD NW, HICKORY, NC 28601-1072
(828) 238-3365
Mailing address
3345 4TH STREET BLVD NW, HICKORY, NC 28601-1072
(828) 238-3365
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0172R
BCBS OF NC GROUP NUMBER
NC
05
—
890172R
—
NC
Enumeration date
05/14/2007
Last updated
08/22/2020
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