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Individual

MARIAH TANIOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., M.P.H.

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-2322
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-2322

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
272219
MA
207L00000X
Anesthesiology Physician
85645
SC
207LP3000X
Pediatric Anesthesiology Physician
Primary
85645
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD85645
SC MEDICAL LICENSE
SC
Enumeration date
06/23/2015
Last updated
01/11/2023
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