Individual
DR. ALEXANDER VALERIKOVICH GOLOVLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
165 CANNON ST, #503, CHARLESTON, SC 29425-7901
(843) 792-9457
Mailing address
2072 CHILHOWEE DR, JOHNS ISLAND, SC 29455-8197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83405
GA
207L00000X
Anesthesiology Physician
MMD.38416.LL
SC
Other
Enumeration date
06/11/2015
Last updated
06/24/2019
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