Individual
DR. ALEX DIBONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4411
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD29245
SC
2085R0204X
Vascular & Interventional Radiology Physician
MD29245
SC
Other
Enumeration date
10/17/2006
Last updated
07/27/2024
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