Provider Demographics
NPI:1639743388
Name:FERREIRA, JOSEANA LOPES (MD)
Entity type:Individual
Prefix:
First Name:JOSEANA
Middle Name:LOPES
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MUSC HEALTH PRIMARY CARE - WEST ASHLEY
Mailing Address - Street 2:2075 CHARLIE HALL BOULEVARD
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414
Mailing Address - Country:US
Mailing Address - Phone:843-876-3151
Mailing Address - Fax:
Practice Address - Street 1:MUSC HEALTH PRIMARY CARE - WEST ASHLEY
Practice Address - Street 2:2075 CHARLIE HALL BULEVARD
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414
Practice Address - Country:US
Practice Address - Phone:843-876-3151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL85699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine