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Individual
DR. DAVID BRIAN NELSON
Active
Individual
DR. DAVID BRIAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22281
SC
208D00000X
General Practice Physician
Primary
22281
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437370657
GROUP NPI
—
01
—
201017243
FEDERAL TAX ID
SC
01
—
22281
SC LICENSE
SC
05
—
GP4138
—
SC
Enumeration date
03/22/2006
Last updated
08/16/2021
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