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Contact Information

JOSEPH A NELLIS, DO
NHCC MHP
110 NNPTC CIR
GOOSE CREEK, SC29445
 Phone: 843-794-6221
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOSEPH A NELLIS · (Male)

NPI Number 1053382093
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/28/2006
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 2005-01499
  • SC License # 82258
  • SC Medicaid 822587
Hospital affiliation(s)
  • TRIDENT MEDICAL CENTER - (Acute Care)
    9330 MEDICAL PLAZA DR
    CHARLESTON, SC 29406
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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