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Individual

DR. NABIL ABDALLA FAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
324 MERCY ST, LAKE CITY, SC 29560-2332
(843) 374-9945
(843) 374-5699
Mailing address
324 MERCY ST, LAKE CITY, SC 29560-2332
(843) 374-9945
(843) 374-5699

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8455-20
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8455-20
STATE LICENSE
SC
05
GP2860
SC
Enumeration date
05/04/2006
Last updated
10/10/2007
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