NPI 1043210164

Eric R Nicely, MD

Practitioner Urology Physician Powell, TN

Practice location

Address: 7557 Dannaher Ln Suite 230, Powell, TN 37849-3558
Phone: (865) 637-9431
Fax: (865) 637-8887
Mailing address: 9724 Kingston Pike Suite 800, Knoxville, TN 37922-3347

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD0000019805 (TN)

Other Urology providers in Tennessee →

Registry record

NPI: 1043210164
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2005
Record last updated: 7 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.