Nickles, Samuel Walker

Nickles, Samuel Walker is an individual health care provider with primary practice located at 2890 Tricom St , North Charleston SC 29406-9171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Nickles, Samuel Walker can be contacted via phone (843) 797-6600.

Contact Information

Primary practice address
2890 Tricom St North Charleston SC 29406-9171
Phone: (843) 797-6600
Fax: (843) 820-1440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X TL32770 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X TL32770 South Carolina

Profile Details

NPI number 1275854457
LBN Legal business name Nickles, Samuel Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Sep 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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