Individual
DR. DAVID BRIAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 S HERLONG AVE, SUITE 103, ROCK HILL, SC 29732-8349
(803) 985-3937
(803) 985-3922
Mailing address
410 S HERLONG AVE, SUITE 103, ROCK HILL, SC 29732-8349
(803) 985-3937
(803) 985-3922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22281
SC
208D00000X
General Practice Physician
Primary
22281
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437370657
GROUP NPI
—
01
—
201017243
FEDERAL TAX ID
SC
01
—
22281
SC LICENSE
SC
05
—
GP4138
—
SC
Enumeration date
03/22/2006
Last updated
08/16/2021
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