Individual
DR. ALICIA RENEE PRIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
A115704
CA
2086S0102X
Surgical Critical Care Physician
Primary
36036
SC
2086S0102X
Surgical Critical Care Physician
A115704
CA
2086S0127X
Trauma Surgery Physician
A115704
CA
Other
Enumeration date
05/02/2007
Last updated
07/09/2013
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