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Contact Information

ALISA N BLUMENTHALER, MD
DEPARTMENT OF SURGERY 30 COURTENAY DRIVE MSC 295
CHARLESTON, SC29425-1810
 Phone: 843-792-1414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ALISA N BLUMENTHALER · (Female)

NPI # 1982124418
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2017
Last updated 08/11/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A194546
  • IN License # 11019543A
  • SC License # 95272
Hospital affiliation(s) Not Available
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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