Individual
ABDALLA BAMASHMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1810
(864) 512-1805
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1810
(864) 512-1805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15403
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154031
—
SC
Enumeration date
08/28/2006
Last updated
03/17/2010
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