Individual
JEREMY MARK AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3416 HIGHWAY 81 N, ANDERSON, SC 29621-3628
(864) 202-4080
Mailing address
3416 HIGHWAY 81 N, ANDERSON, SC 29621-3628
(864) 202-4080
(864) 202-4092
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
219551
SC
363LF0000X
Family Nurse Practitioner
Primary
28859
SC
Other
Enumeration date
03/25/2024
Last updated
06/12/2024
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