Individual
ABDURRAHEEM ANNAHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4615 FOREST DR, COLUMBIA, SC 29206-3168
(803) 567-0453
Mailing address
5223 ENFIELD DR, COLUMBIA, SC 29212-3613
(803) 567-0453
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31659
SC
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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