Individual
DR. NUSRAT UL SHAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 GATEWAY CORPORATE BLVD STE 350, COLUMBIA, SC 29203-9785
(803) 788-2277
(803) 788-6508
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32383
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323830
—
SC
Enumeration date
10/10/2007
Last updated
08/25/2021
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