Individual
ABNER H BAGENSTOSE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 RIBAUT RD, PORT ROYAL, SC 29935-1118
(843) 986-0900
Mailing address
721 OKATIE HWY, OKATIE, SC 29909-3963
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
32682
SC
207K00000X
Allergy & Immunology Physician
Primary
35037450B
OH
207R00000X
Internal Medicine Physician
Primary
32682
SC
Other
Enumeration date
04/04/2006
Last updated
02/24/2026
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