Individual
JEFFREY ALLEN OLLIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35403
SC
207L00000X
Anesthesiology Physician
Primary
48263
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Enumeration date
08/01/2008
Last updated
04/25/2019
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