Individual
ASHWIN ATTIGUPPAM MALLIKARJUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
(843) 248-3145
Mailing address
1608 MAIN ST, CONWAY, SC 29526-3572
(843) 248-4700
(843) 248-3145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20201
SC
Other
Enumeration date
09/15/2006
Last updated
03/07/2023
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