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NPI Code Detail

MEDICARE: DARRIN EARL NICHOLS M.D.

MEDICARE: DARRIN EARL NICHOLS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician29648WV

General Provider Information

NPI Number : 1912439019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRIN EARL NICHOLS M.D.
Provider Business Mailing Address
First Line : PO BOX 609
Second Line :
City : ELIZABETH
State : WV
Zip : 26143-0609
Country : US
Telephone Number : 304-388-4600
Fax Number : 304-388-4621
Provider Business Practice Location Address
First Line : 483 COURT ST
Second Line :
City : ELIZABETH
State : WV
Zip : 26143-1109
Country : US
Telephone Number : 304-275-3301
Fax Number : 304-275-4798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 02/04/2026

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