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JOSEPH MICHAEL BRACALENTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 OMNI DR, SENECA, SC 29672-9448
(864) 886-9250
(864) 886-9251
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4759
SC
363AS0400X
Surgical Physician Assistant
4773
CT

Other

Enumeration date
09/30/2014
Last updated
08/21/2023
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