Individual
DR. DYLAN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7065
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
81873
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081102
—
MO
Enumeration date
06/03/2009
Last updated
03/24/2020
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