Individual
JEFFREY P MUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1580 FREEDOM BLVD, SUITE 106, FLORENCE, SC 29505-6074
(843) 674-1480
(843) 674-6411
Mailing address
PO BOX 11271, BELFAST, ME 04915-4003
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
128
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480015152
RAILROAD MEDICARE
SC
05
—
890805V
—
NC
05
—
PD1288
—
SC
Enumeration date
05/17/2006
Last updated
11/05/2013
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