Individual
TIKVA Y. HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
631 JOHNNIE DODDS BLVD, MT. PLEASANT, SC 29464-1321
(843) 881-0815
Mailing address
631 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3030
(843) 881-0815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101267729
VA
207Q00000X
Family Medicine Physician
Primary
82296
SC
Other
Enumeration date
06/15/2016
Last updated
06/11/2020
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