| Jim Nasim | |
|
101 West Durst Avenue Greenwood SC 29649 | |
| (864) 576-7169 | |
| Not Available |
| Full Name | Jim Nasim |
|---|---|
| Speciality | Dentist |
| Location | 101 West Durst Avenue, Greenwood, South Carolina |
| Authorized Official Name and Position | Barbara Martin (HR MANAGER) |
| Authorized Official Contact | 7703823536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Nasim 101 West Durst Avenue Greenwood SC 29649 Ph: (864) 576-7169 | Jim Nasim 101 West Durst Avenue Greenwood SC 29649 Ph: (864) 576-7169 |
| NPI Number | 1225406960 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225406960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2881 (South Carolina) | Secondary |
| 122300000X | Dentist | 2881 (South Carolina) | Primary |
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