Individual
NIKKO ROWE ASUNCION TABLIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 RUTLEDGE AVE RM 1209, CHARLESTON, SC 29425-8905
(843) 792-4541
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT220998
PA
207RI0200X
Infectious Disease Physician
Primary
89394
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
05/04/2025
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