JOHN IKONOMIDIS

CHARLESTON, SC
NPI1578678595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: SC  22034)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
-- JOHN IKONOMIDIS MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
-- JOHN IKONOMIDIS MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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