Individual
DR. NICOLAS STRONGE POUPORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 RUTLEDGE AVE # MSC550, CHARLESTON, SC 29425-8903
(843) 876-0791
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
LL90258
SC
Other
Enumeration date
06/07/2023
Last updated
06/23/2023
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