Individual
JOHN ALLEN KNEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
570 LONG POINT RD STE 130, MOUNT PLEASANT, SC 29464-7931
(843) 884-2133
(843) 884-2868
Mailing address
874 WHIPPLE RD, SUITE 100, MT PLEASANT, SC 29464-8900
(843) 884-2133
(843) 849-9466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003793
—
SC
Enumeration date
11/22/2005
Last updated
03/07/2019
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