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1063615383
DIANA AXIOTIS
CHARLESTON, SC
NPI
1063615383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1207)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
-- DIANA AXIOTIS PA-C
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
-- DIANA AXIOTIS PA-C
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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