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1063733350
TERRY PAUL NICKERSON
ROANOKE, VA
NPI
1063733350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: VA 0101267266)
Enumeration Date
2010-06-21
Last Update Date
2022-08-10
Business Address
TERRY PAUL NICKERSON MD
3 RIVERSIDE CIR
ROANOKE, VA 24016-4955
Phone number: 540-526-1251
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Mailing Address
TERRY PAUL NICKERSON MD
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5715
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