NPI 1497757108

Carroll John Nickle, DO

Practitioner Aerospace Medicine Physician Virginia Beach, VA

Practice location

Address: 1224 Chattingham Dr, Virginia Beach, VA 23464-5836
Phone: (757) 495-2719

Registered specialties

Aerospace Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 19464 (CO)

Other Preventive Medicine providers in Virginia →

Registry record

NPI: 1497757108
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2005
Record last updated: 13 Jul 2026

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.