Individual
DR. JEFFREY A LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 716-6100
(864) 716-6120
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 716-6100
(864) 716-6120
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2013019928
MO
208800000X
Urology Physician
Primary
83826
SC
Other
Enumeration date
09/16/2008
Last updated
08/12/2020
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