ALISA NICOLE BLUMENTHALER

CHARLESTON, SC
NPI1982124418
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086X0206X Surgery, Surgical Oncology
(Licence: SC  95272)
Additional Taxonomies2086X0206X Surgery, Surgical Oncology
(Licence: CA  A194546)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11019543A)
Enumeration Date2017-06-26
Last Update Date2025-08-11
Business Address
Dr. ALISA NICOLE BLUMENTHALER MD
DEPARTMENT OF SURGERY 30 COURTENAY DRIVE MSC 295
CHARLESTON, SC 29425-1810
Phone number: 843-792-1414
Mailing Address
Dr. ALISA NICOLE BLUMENTHALER MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414