# ABNER H BAGENSTOSE III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104888403
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 32682 | SC | — |
| 207K00000X | Allergy & Immunology Physician | 35037450B | OH | Yes |
| 207R00000X | Internal Medicine Physician | 32682 | SC | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 06/12/2026