Individual
JAKE DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST STE 601, CHARLESTON, SC 29425-3438
(843) 792-2300
Mailing address
96 JONATHAN LUCAS ST STE 601, CHARLESTON, SC 29425-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
87572
SC
Other
Enumeration date
04/15/2021
Last updated
08/04/2025
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