Search › Virginia › 101Y00000X
Demetrious Nicholson
NPI 1558175620 · on the registry since 2025
Practice
- Address
- 141 Ednam Dr Ste 104
Charlottesville, VA 22903 - Phone
- (434) 202-4080
- Organisation at this address
- Amanda Sovik-Johnston
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia