Individual
DR. VIRGILIO VALERIANO GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38790
SC
208C00000X
Colon & Rectal Surgery Physician
01061952A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528291
ANTHEM PIN
IN
05
—
200875420
—
IN
Enumeration date
03/21/2007
Last updated
09/14/2015
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