Individual
DR. JOHN WILLIAM NANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL32697
SC
2085R0202X
Diagnostic Radiology Physician
262305
MA
2085R0202X
Diagnostic Radiology Physician
Primary
32697
SC
Other
Enumeration date
06/09/2010
Last updated
06/21/2016
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