Provider Demographics
NPI:1083078364
Name:NUTZ, ALANNA AHLERS (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALANNA
Middle Name:AHLERS
Last Name:NUTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ALANNA
Other - Middle Name:HOPE
Other - Last Name:AHLERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:525 VERDAE BLVD.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-272-0388
Mailing Address - Fax:864-213-9237
Practice Address - Street 1:3020 REIDVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301
Practice Address - Country:US
Practice Address - Phone:864-272-0388
Practice Address - Fax:864-213-9237
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD81753208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics