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

Dr. Zachary Joseph Provenzano, MD

Individual provider Internal Medicine Physician · NPI 1750126561

Dr. Zachary Joseph Provenzano, MD is an Internal Medicine Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-2731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence LL92631 (SC)

Record details

NPI number1750126561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

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