Eric R Nicely M.D.

NPI 1043210164 - Urology - 208800000X

NPI Details
NPI 1043210164
Gender Male
Enumeration Date 07/29/2005
Last Updated 12/07/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
7557 DANNAHER LN
SUITE 230
POWELL TN, 37849-3558, US
Phone (865) 637-9431
Fax (865) 637-8887
Business Location
9724 KINGSTON PIKE
SUITE 800
KNOXVILLE TN, 37922-3347, US
Phone (865) 690-0602
Fax (865) 690-0515
Toxanomy
Taxonomy Code 208800000X
License State Tennessee
License Number MD0000019805
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According to our database, Dr. Eric R Nicely M.D. NPI is 1043210164, taxonomy code is 208800000X and license number is MD0000019805, license state is located at Tennessee. Eric R Nicely M.D. physically located at 7557 Dannaher Ln, Powell TN, 37849-3558. NPI Number Eric R Nicely M.D. has the Individual type.

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1043210164 NPI number is provided on an as is basis without warranty of any kind. 1043210164 is maintained by the National Plan & Provider Enumeration System. The contents of Eric R Nicely M.D. are for informational purposes only.