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Individual

DR. NELSON FISHER GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5317 A LAKESIDE AVE, HENRICO, VA 23228
(804) 303-4961
(804) 912-2366
Mailing address
2901 STONEWALL AVE, RICHMOND, VA 23225-3554
(804) 814-3545
(804) 977-1301

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104000707
VA
111NR0400X
Rehabilitation Chiropractor
Primary
0104000707
VA
111NS0005X
Sports Physician Chiropractor
0104000707
VA

Other

Enumeration date
07/19/2005
Last updated
04/27/2020
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