Individual
JOHN J CHOMYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 HOSPITAL DR, MT PLEASANT, SC 29464
(843) 792-1414
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
015991
ME
2085R0202X
Diagnostic Radiology Physician
Primary
16461
SC
2085R0204X
Vascular & Interventional Radiology Physician
015991
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302450099
—
ME
Enumeration date
06/09/2005
Last updated
07/24/2018
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