Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Gonzalez Antonucci

Individual provider Internal Medicine Physician · NPI 1538908371

Alexis Gonzalez Antonucci is an Internal Medicine Physician in Charleston, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

169 Ashley Ave Rm 202
Charleston, SC 29425-5026
Phone: (843) 792-7365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LL95043 (SC)

Record details

NPI number1538908371
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2024
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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