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Individual
DR. MARK HARVEY NELSON
Active
Individual
DR. MARK HARVEY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33109
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
33109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10053
OPTICARE
NC
01
—
4557306002
CIGNA
NC
01
—
62094
BCBS
NC
01
—
698
PARTNERS
NC
05
—
8962094
—
NC
Enumeration date
06/22/2005
Last updated
02/26/2019
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