Individual
ABDALLAH KAMOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 PAMPLICO HWY, SUITE B-230, FLORENCE, SC 29505-6047
(843) 674-4787
(843) 664-9862
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MMD.38006 MD
SC
207RC0000X
Cardiovascular Disease Physician
MMD.38006 MD
SC
207RI0011X
Interventional Cardiology Physician
Primary
MMD.38006 MD
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMD.38006 MD
SC MEDICAL LICENSE
SC
Enumeration date
08/07/2008
Last updated
12/16/2020
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