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NPI 1003848664

NPI 1003848664 : DAVID MONROE NELSON MD : POOLER, GA

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General NPI Number Information
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    NPI Number           |    1003848664
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID MONROE NELSON MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    138 CANAL ST STE 201 
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    City                 |    POOLER
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    State                |    GA
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    Zip                  |    31322-4047
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    Country              |    US
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    Telephone            |    912-348-3833
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    Fax                  |    912-348-2669
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Provider Business Mailing Address
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    Address Line         |    113 CHANCERY LN 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31410-3198
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    Country              |    US
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    Telephone            |    912-897-1702
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    Fax                  |    912-352-4053
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QA0401X
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    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
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    License Number       |    31085
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    207QB0002X
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    Taxonomy Name        |    Obesity Medicine (Family Medicine) Physician
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    License Number       |    31085
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    31085
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    License Number State |    GA
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Taxonomy #4
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    31085
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    License Number State |    GA
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