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Individual

MR. OLEXANDR S NOSOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., SA-C

Contact information

Practice address
209 PATEWOOD DR, SUITE 200, GREENVILLE, SC 29615-3581
(864) 234-9900
(864) 254-9459
Mailing address
PO BOX 75014, CHARLOTTE, NC 28275-0014
(864) 234-9900
(864) 254-9459

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
08-109
SC

Other

Enumeration date
02/19/2008
Last updated
02/19/2008
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