Individual
MR. CHRISTOPHER HAL JEPPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCAT
Contact information
Practice address
300 E COLLEGE AVE, HARTSVILLE, SC 29550-3742
(843) 383-8390
(843) 383-8169
Mailing address
209 DAHOON LN, HARTSVILLE, SC 29550-4907
(540) 209-5215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36001231A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225500000X
SPECIALIST/TECHNOLOGIST
IN
Enumeration date
02/14/2006
Last updated
11/07/2018
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