Individual
JEHAD S ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 CAROLINA AVE, ORANGEBURG, SC 29115-4940
(803) 539-0505
(803) 539-0410
Mailing address
PO BOX 11671, COLUMBIA, SC 29211-1671
(803) 539-0505
(803) 539-0410
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
26734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4295
—
SC
Enumeration date
10/10/2006
Last updated
11/16/2007
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