Individual
DR. VICTORIA M DIOKNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 FAIR SAILING RD, MOUNT PLEASANT, SC 29466-8158
(843) 276-2630
Mailing address
100 FAIR SAILING RD, MOUNT PLEASANT, SC 29466-8158
(843) 972-7873
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35-088393
OH
207K00000X
Allergy & Immunology Physician
C10006636
DE
207R00000X
Internal Medicine Physician
31305
SC
207R00000X
Internal Medicine Physician
DEA#BD7946429
DE
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
31305
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016773
—
DE
Enumeration date
05/17/2006
Last updated
06/23/2020
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