Individual
BRANDI T. NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(859) 578-5855
Mailing address
100 SAN MARCOS WAY, CROZET, VA 22932-1578
(434) 996-6968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101235708
VA
2085R0202X
Diagnostic Radiology Physician
MD-45476
IA
Other
Enumeration date
11/07/2006
Last updated
01/15/2025
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