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Contact Information

GLENN E MACNICHOL, MD
110 PATRICK CT
ROCKY MOUNT, NC27804-1743
 Phone: 252-443-0400
 Fax: 252-443-0572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for GLENN E MACNICHOL · (Male)

NPI # 1245297811
Status Active
Credentials MD
Entity Individual
Enumeration date 04/27/2006
Last updated 05/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 34389
  • NC Medicaid 7953696
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
  • VIDANT EDGECOMBE HOSPITAL - (Acute Care)
    111 HOSPITAL DR
    TARBORO, NC 27886
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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