Individual
DR. JOSEPH A. NELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
NHCC MHP, 110 NNPTC CIR, GOOSE CREEK, SC 29445
(843) 794-6221
Mailing address
NHCC MHP, 110 NNPTC CIR, GOOSE CREEK, SC 29445
(843) 794-6221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2005-01499
NC
207Q00000X
Family Medicine Physician
Primary
82258
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822587
—
SC
Enumeration date
01/28/2006
Last updated
06/07/2024
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