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NPI Code Detail

MEDICARE: ALFRED TURNER NELSON JR. M.D.

MEDICARE: ALFRED TURNER NELSON JR. 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
1207T00000XNeurological Surgery Physician12556SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00321436OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3576007863184OTHERSCBCBS

General Provider Information

NPI Number : 1962407171
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALFRED TURNER NELSON JR. M.D.
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 212
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number : 864-797-6303
Fax Number :
Provider Business Practice Location Address
First Line : 111 DOCTORS DR
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-5622
Country : US
Telephone Number : 864-797-7150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 02/20/2018

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