Individual
DR. JESSICA ASHLEY FORCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D81113
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LL34747
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585004500
—
MD
Enumeration date
06/05/2012
Last updated
06/25/2018
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