Individual
GUY E NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923-4325
(865) 373-1000
Mailing address
9303 PARK WEST BLVD, KNOXVILLE, TN 37923-4397
(865) 373-1604
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101046841
VA
207ZH0000X
Hematology (Pathology) Physician
0101046841
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101046841
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD0000040155
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010159806
—
VA
01
—
181665
ANTHEM-CENTERPOINT RD.
VA
01
—
220021296
RAILROAD MEDICARE
—
01
—
230531
ANTHEM-BREMO RD.
VA
Enumeration date
09/06/2005
Last updated
07/02/2014
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