Individual provider · NPI-1

Sofia Aksentijevich, MD

Internal Medicine, Rheumatology · Charleston, SC

NPI number1952449290
StatusActive
Last updated in NPPESSep 11, 2012

Details

NPI
1952449290
Entity type
Individual (NPI-1)
Name
Sofia Aksentijevich
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 1, 2007
Last updated
Sep 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RR0500X Internal Medicine, Rheumatology34312SCYes

Practice location

14 E Farmfield Avenue
Charleston, SC 29407-7757

Phone 843-571-6067 · Fax 843-769-4853

Mailing address

14 E Farmfield Avenue
Charleston, SC 29407-7757

Phone 843-571-6067 · Fax 843-769-4853

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