Individual
CHRISTOPHER TODD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9100 HIGHWAY 14, GRAY COURT, SC 29645-4152
(864) 876-4888
(864) 876-4900
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21214
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171135
RR MEDICARE
SC
05
—
212148
—
SC
01
—
7442274
AETNA ID
SC
Enumeration date
06/15/2006
Last updated
08/23/2013
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