Individual
DR. JEREC WARREN RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 JONATHAN LUCAS ST, SUITE 420, CHARLESTON, SC 29425-8900
(843) 792-3072
Mailing address
35 FOLLY ROAD BLVD APT 368, CHARLESTON, SC 29407-7506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39385
SC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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