CARROLL JOHN NICKLE

VIRGINIA BEACH, VA
NPI1497757108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: CO  19464)
Enumeration Date2005-08-12
Last Update Date2007-07-08
Business Address
Dr. CARROLL JOHN NICKLE D.O.
1224 CHATTINGHAM DR
VIRGINIA BEACH, VA 23464-5836
Phone number: 757-495-2719
Mailing Address
Dr. CARROLL JOHN NICKLE D.O.
1224 CHATTINGHAM DR
VIRGINIA BEACH, VA 23464-5836
Phone number: 757-495-2719