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Individual

DR. JAKE WILLIAM ALTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2085 HENRY TECKLENBURG DR STE 320, CHARLESTON, SC 29414-7713
(843) 571-6067
Mailing address
PO BOX 751874, CHARLOTTE, NC 28275-1874
(843) 402-5200

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
82942
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
829429
SC
Enumeration date
07/01/2019
Last updated
01/25/2025
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