Individual
JERRY P HUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
672 HWY 9 WEST, BENNETTSVILLE, SC 29512
(843) 479-0641
(843) 479-6609
Mailing address
PO BOX 250, BENNETTSVILLE, SC 29512
(843) 479-0641
(843) 479-6609
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
15818
SC
207ZP0101X
Anatomic Pathology Physician
34992
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890684N
—
NC
Enumeration date
10/10/2006
Last updated
07/08/2007
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