Individual
DOSHANDRA N NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
722 HYATT ST, GAFFNEY, SC 29341-2643
(864) 489-2400
(864) 488-1057
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35845
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358455
—
SC
01
—
SC22036121
MEDIACARE PIN
SC
01
—
SC2203J577
MEDIACARE PIN
SC
Enumeration date
05/22/2009
Last updated
11/18/2020
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