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General NPI Number Information
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NPI Number | 1699743344
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Entity Type | Individual
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Provider Name | JOSEPH F VALICENTI JR. MD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DRIVE DEPARTMENT OF PATHOLOGY
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City | CHARLESTON
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State | SC
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Zip | 29418-9195
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Country | US
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Telephone | 843-797-4179
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Fax | 843-797-4296
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Provider Business Mailing Address
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Address Line | PO BOX 60070
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City | CHARLESTON
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State | SC
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Zip | 29419-0070
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Country | US
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Telephone | 843-797-4179
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Fax | 843-792-4296
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 6755
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License Number State | SC
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