Individual
PETER ANTHONY CIANCIONE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN MEMORIAL HOSPITAL, GEORGETOWN, SC 29440-3304
(843) 527-7000
(843) 520-8403
Mailing address
PO BOX 1718, GEORGETOWN, SC 29442-1718
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN777
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0733
—
SC
Enumeration date
07/28/2005
Last updated
11/06/2019
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