IndividualActive
Carroll Nickle, D.O.
NPI 1497757108 · Aerospace Medicine Physician · Virginia Beach, VA
Provider details
- NPI number
- 1497757108
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- License
- 19464 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1224 Chattingham Dr
Virginia Beach, VA 23464-5836
Phone: (757) 495-2719
Approximate (ZIP-level) locationGet directions
Mailing address
1224 Chattingham Dr
Virginia Beach, VA 23464-5836
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.