Individual
JEFFREY JOHN FARRICIELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1131 QUEENSBOROUGH BLVD STE 102, MOUNT PLEASANT, SC 29464
(843) 901-2145
(877) 670-7886
Mailing address
1131 QUEENSBOROUGH BLVD STE 102, MOUNT PLEASANT, SC 29464-5430
(843) 901-2145
(877) 670-7886
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36306
SC
Other
Enumeration date
06/03/2009
Last updated
09/29/2021
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