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Individual

ALEKSEI KORNIENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
96 JONATHAN LUCAS ST # 623, CHARLESTON, SC 29425-8900
(843) 792-7282
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-5716
(843) 792-7282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL92919
SC

Other

Enumeration date
07/11/2024
Last updated
07/15/2024
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