MEDICARE: DR. ALAN N. ABEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	6732	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	570604998	OTHER	SC	COMMERCIAL CLAIMS

General Provider Information

NPI Number	:	1700962487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN N. ABEL M.D.

Provider Business Mailing Address
First Line	:	7741C DORCHESTER RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-3101
Country	:	US
Telephone Number	:	843-552-9061
Fax Number	:	843-552-0062

Provider Business Practice Location Address
First Line	:	7741C DORCHESTER RD
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-3101
Country	:	US
Telephone Number	:	843-552-9061
Fax Number	:	843-552-0062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	02/24/2010

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