Provider Demographics
NPI:1629013578
Name:DELAHUNTY, NIGEL PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:NIGEL
Middle Name:PATRICK
Last Name:DELAHUNTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT STE 212
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4536
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:325 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-2442
Practice Address - Country:US
Practice Address - Phone:864-797-9200
Practice Address - Fax:864-797-9217
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC17786207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC177864Medicaid
SCG06672Medicare UPIN
SC177864Medicaid