Provider Demographics
NPI:1700362241
Name:NICHOLSON, CHAD (MD)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:NICHOLSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:127 CRESTVIEW PARK DR STE 209
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2856
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:615-446-1359
Practice Address - Street 1:113 HIGHWAY 70 E
Practice Address - Street 2:3RD FLOOR, SUITE A
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2075
Practice Address - Country:US
Practice Address - Phone:615-446-1345
Practice Address - Fax:615-441-4560
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2025-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301116251207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology