Individual
NIZAR P HALLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 120, COLUMBIA, SC 29203-6850
(803) 434-8866
(803) 256-0397
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53079-020
WI
207RG0100X
Gastroenterology Physician
Primary
51592
SC
207RG0100X
Gastroenterology Physician
53079
WI
207RG0100X
Gastroenterology Physician
MD22357
ME
207RG0100X
Gastroenterology Physician
ME163699
FL
Other
Enumeration date
05/22/2009
Last updated
04/02/2024
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