Individual
MR. JEAN LUC ALCIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-5541
Mailing address
627 JONAGOLD CT, ANDERSON, SC 29621-7908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252887
SC
363AM0700X
Medical Physician Assistant
698-P.A.
PR
363LF0000X
Family Nurse Practitioner
Primary
APRN11021580
FL
Other
Enumeration date
11/09/2020
Last updated
10/31/2022
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