Whalio Doctors

NPI 1063733350

Terry Paul Nickerson, MD

Practitioner Colon & Rectal Surgery Physician Roanoke, VA

Practice location

Address
3 Riverside Cir, Roanoke, VA 24016-4955
Phone
(540) 526-1251
Mailing address
213 S Jefferson St STE 1006, Roanoke, VA 24011-1713

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 0101267266 (VA)

Registry record

NPI
1063733350
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2010
Record last updated
10 Aug 2022

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.