Individual
ROBERT NEAL AXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7833
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27819
SC
207R00000X
Internal Medicine Physician
Primary
TL27819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278194
—
SC
Enumeration date
09/20/2006
Last updated
04/02/2019
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