Individual
JABRAN AKHTAR HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
279 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 582-7025
(864) 583-5715
Mailing address
279 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 582-7025
(864) 583-5715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1.053735
CT
207Q00000X
Family Medicine Physician
TL35309
SC
208D00000X
General Practice Physician
0
OH
Other
Enumeration date
07/06/2010
Last updated
09/16/2020
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