IndividualActive
Phillip Nichols, MD
NPI 1396744652 · Otolaryngology Physician · Charleston, WV
Provider details
- NPI number
- 1396744652
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19053 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
500 Donnally St
Suite 200
Charleston, WV 25301-1648
Phone: (304) 342-0124
Fax: (304) 340-2204
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1628
Charleston, WV 25326-1628
Additional practice locations (1)
- 125 Buena Vista CirSouth Hill, VA 23970-1431Phone: (434) 584-3151Fax: (434) 584-5543
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.