Individual
DR. MAURICIO VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8500 CHARLOTTE HWY, INDIAN LAND, SC 29707-7591
(803) 548-9393
(803) 548-9590
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2091914
SC
207Q00000X
Family Medicine Physician
226973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359960
—
NY
Enumeration date
05/15/2006
Last updated
04/29/2026
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