Individual provider · NPI-1

Izabela Bernardeta Abissi, DO

Internal Medicine · Charleston, SC

NPI number1376387803
StatusActive
Last updated in NPPESJun 20, 2024

Details

NPI
1376387803
Entity type
Individual (NPI-1)
Name
Izabela Bernardeta Abissi
Credential
DO
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2024
Certification date
Jun 20, 2024
Last updated
Jun 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineLL91529SCYes

Practice location

169 Ashley Ave Rm 202
Charleston, SC 29425-8905

Phone 843-792-2081

Mailing address

169 Ashley Ave Rm 202
Charleston, SC 29425-8905

Phone 843-792-2081

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