Individual
JOSE CHIQUINQUIRA MUNOZ VILLASMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2244 ASHLEY CROSSING DR UNIT 1232, CHARLESTON, SC 29414-6161
(832) 759-0253
(843) 792-9295
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-2575
(843) 792-9295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86047
SC
Other
Enumeration date
05/28/2021
Last updated
11/15/2021
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