Individual
JEREMY CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
566 DOSTER RD, LANCASTER, SC 29720-7457
(803) 372-3900
Mailing address
566 DOSTER RD, LANCASTER, SC 29720-7457
(803) 372-3900
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
B0003960
SC
Other
Enumeration date
02/16/2026
Last updated
05/03/2026
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