Individual
MISS NICOLE EVELYN NASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7895
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39733
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2012
Last updated
04/13/2019
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