Most Relevant Information
Provider Data
| NPI Number: | 1003445925 |
| Provider Name: | NIKKO ROWE ASUNCION TABLIAGO MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | MT220998 |
Most Important Dates
| Enumeration Date: | 04/02/2020 |
| Last Updated: | 06/13/2023 |
Provider Practice Location
169 ASHLEY AVE RM 202
CHARLESTON
SC
294258905
Practice Location Phone/Fax
| Phone: | 8437922575 |
| Fax: |
Provider Mailing Location
169 ASHLEY AVE RM 202
CHARLESTON
SC
294258905
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR