Provider Demographics
NPI:1700962487
Name:ABEL, ALAN N (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:N
Last Name:ABEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7741C DORCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-3101
Mailing Address - Country:US
Mailing Address - Phone:843-552-9061
Mailing Address - Fax:843-552-0062
Practice Address - Street 1:7741C DORCHESTER RD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-3101
Practice Address - Country:US
Practice Address - Phone:843-552-9061
Practice Address - Fax:843-552-0062
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC6732261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC570604998OtherCOMMERCIAL CLAIMS
SCC605950Medicare UPIN