Individual
JENNIFER C WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ST FRANCIS CARDIOVASCULAR, 317 ST. FRANCIS DR. STE 120, GREENVILLE, SC 29601-3900
(864) 255-1317
(877) 591-6931
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 235-7665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1639
SC
363AM0700X
Medical Physician Assistant
TL1639
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3687PA
—
SC
Enumeration date
04/18/2011
Last updated
09/20/2018
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