Individual
IMAN ABDUL-ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 BARONY ST, MONCKS CORNER, SC 29461-3128
(803) 421-9711
Mailing address
602 GREEN PASTURE CT, ELGIN, SC 29045-9199
(803) 421-9711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22741
SC
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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