Individual
DR. CHRISTINE DE ANTONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, SUITE 807 CSB, CHARLESTON, SC 29425-8900
(843) 792-4074
Mailing address
96 JONATHAN LUCAS ST, SUITE 807 CSB, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL92189
SC
Other
Enumeration date
06/08/2024
Last updated
06/08/2024
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