# JAG MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952945636
- **Authorized official:** DR. JARED GUICHARD MD (OWNER)
- **Authorized official phone:** (619) 933-5382

## Contact information

- **Practice address:** 105 S CEDAR ST STE G, SUMMERVILLE, SC 29483-6078
- **Practice address phone:** (619) 933-5382
- **Mailing address:** 1219 RAVEN RD, HANAHAN, SC 29410-8509
- **Mailing address phone:** (619) 933-5382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2019
- **Last updated:** 01/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1669734760 | — | SC |