Individual
DR. JOSHUA VISSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS ST # HE122, CHARLESTON, SC 29425-2638
(843) 876-9686
(843) 985-9747
Mailing address
96 JONATHAN LUCAS ST CSB HE122, MSC640, CHARLESTON, SC 29425-8900
(843) 876-9686
(843) 985-9747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41116
SC
Other
Enumeration date
04/13/2017
Last updated
01/10/2024
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