Individual
ALAN I NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 FARMFIELD AVE, SUITE E, CHARLESTON, SC 29407-7757
(843) 571-6067
(843) 769-4853
Mailing address
14 FARMFIELD AVE, SUITE E, CHARLESTON, SC 29407-7757
(843) 571-6067
(843) 769-4853
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
9904
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099048
—
SC
Enumeration date
06/08/2006
Last updated
01/28/2014
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