Alexus Misiel Gonzalez, MD
Pediatrics in Charleston, SC. Individual provider (NPI-1).
NPI number1669166302
StatusActive
Last updated in NPPESJun 6, 2023
Details
- NPI
- 1669166302
- Entity type
- Individual (NPI-1)
- Name
- Alexus Misiel Gonzalez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2023
- Certification date
- Jun 6, 2023
- Last updated
- Jun 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 89944 | SC | Yes |
Practice location
171 Ashley AveCharleston, SC 29425-8908
Phone 843-792-1414
Mailing address
169 Ashley Ave Rm 202Charleston, SC 29425-8905
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