Individual
DR. RICHARD NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 MAPLE GROVE LN W, POWHATAN, VA 23139-5041
(804) 598-8511
Mailing address
2605 MAPLE GROVE LN E, POWHATAN, VA 23139
(804) 598-8511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101235652
VA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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