Individual
DR. CHARLES G NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 CHURCH ST STE 101, PIKEVILLE, KY 41501-3476
(606) 432-5660
(606) 432-2738
Mailing address
7145 E VIRGINIA ST STE 2000, EVANSVILLE, IN 47715-9147
(812) 962-7894
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64162951
—
KY
Enumeration date
07/05/2006
Last updated
03/07/2023
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