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1578678595
JOHN IKONOMIDIS
CHARLESTON, SC
NPI
1578678595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC 22034)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- JOHN IKONOMIDIS MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
-- JOHN IKONOMIDIS MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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