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Individual

HARRY A DEMOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
19449
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
19449
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194499
SC
Enumeration date
07/22/2006
Last updated
07/01/2016
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