Individual
KAMARIA NICOLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
834 FARRAR DR, CONWAY, SC 29526-8747
(843) 839-4142
Mailing address
834 FARRAR DR, CONWAY, SC 29526-8747
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
100937
GA
207N00000X
Dermatology Physician
Primary
93323
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
09/17/2025
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