| Charles Hathaway Nicholson, MD | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3034 | |
| Not Available |
| Full Name | Charles Hathaway Nicholson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609987502 | NPI | - | NPPES |
| 89132EO | Medicaid | NC | |
| 6715093 | Other | NC | CIGNA |
| 21504 | Other | NC | PARTNERS |
| 57289 | Other | NC | MEDCOST |
| 132EO | Other | NC | BCBS NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 30439 (North Carolina) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 30439 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Hathaway Nicholson, MD Po Box 18139, Raleigh, NC 27619-8139 Ph: () - | Charles Hathaway Nicholson, MD 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3034 |
Dr. Robert A Royster Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3241 Fax: 919-784-6862 | |
James Belknap Collawn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Sean Christopher Selig, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Dr. Peter Albert Modrow, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 312 Meeting House Cir, Raleigh, NC 27615 Phone: 919-870-8833 Fax: 919-870-8833 | |
Jeremy Kenneth Reading, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 Fax: 919-350-7385 | |
Dr. Kevin E Vorenkamp, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3404 Wake Forest Rd Ste 300, Raleigh, NC 27609 Phone: 919-954-3584 Fax: 919-954-3156 | |
Michael Winn Hauser, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 |