Individual
DANIEL VENANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 BOWMAN RD, MOUNT PLEASANT, SC 29464-3213
(843) 552-4240
(843) 552-4121
Mailing address
PO BOX 50520, SUMMERVILLE, SC 29485-0520
(843) 552-4240
(843) 552-4121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004438
GA
363A00000X
Physician Assistant
Primary
1543
SC
Other
Enumeration date
07/15/2006
Last updated
10/22/2020
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