DIANA D ANTONOVICH

CHARLESTON, SC
NPI1427093657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  27810)
Enumeration Date2006-06-19
Last Update Date2007-07-08
Business Address
-- DIANA D ANTONOVICH MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
-- DIANA D ANTONOVICH MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200