Individual
ASHISH NICODEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
268 ALEXANDRA DR, MT PLEASANT, SC 29464-2863
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MMD.92821
SC
Other
Enumeration date
07/08/2024
Last updated
07/22/2024
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