Individual
JOSEPH A MAGGIONCALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1062
Mailing address
PO BOX 1792, COLUMBIA, SC 29202-1792
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101238008
VA
207L00000X
Anesthesiology Physician
019788
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197888
—
SC
05
—
7906574
—
NC
Enumeration date
10/03/2006
Last updated
11/25/2025
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