MAMIKON GUKASOV

CHARLESTON, SC
NPI1679929103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: SC  39233)
Enumeration Date2016-05-13
Last Update Date2020-11-25
Business Address
MAMIKON GUKASOV D.O
171 ASHLEY AVE
CHARLESTON, SC 29425-8905
Phone number: 843-792-1414
Mailing Address
MAMIKON GUKASOV D.O
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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