Individual
CHLOE KIANA TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 876-4269
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 876-4269
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
91665
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
05/16/2024
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