Individual
DAVID ANDREW NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
2018 CLINCH AVE, SOUTH TOWER, 2ND FLOOR, KNOXVILLE, TN 37916
(865) 971-7400
(865) 541-8611
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD0000026420
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3029183
BCBS
TN
05
—
3090947
—
TN
Enumeration date
09/21/2006
Last updated
02/20/2018
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