Individual
DOUGLAS LLOYD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
895 MIDDLE GROUND BLVD, SUITE 302, NEWPORT NEWS, VA 23606-4250
(757) 873-0161
(757) 873-0205
Mailing address
895 MIDDLE GROUND BLVD, SUITE 302, NEWPORT NEWS, VA 23606-4250
(757) 873-0161
(757) 873-0205
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101032743
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5931193
—
VA
Enumeration date
08/31/2006
Last updated
08/11/2010
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