Organization
SC-SEWEEFAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN KNEPPER D.O. (PRESIDENT)
(843) 884-2133
Entity
Organization
Contact information
Practice address
874 WHIPPLE RD, SUITE 100, MT PLEASANT, SC 29464-8900
(843) 884-2133
(843) 849-9466
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
—
GP2711
—
SC
Enumeration date
05/09/2006
Last updated
08/25/2014
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