Individual
DR. MIRIAM FRANCES DEANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7234
(843) 805-5782
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7234
(843) 805-5782
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6131
SC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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