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Individual

JEFFREY SAMUEL LINDABERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579
(843) 903-9993
(843) 903-3356
Mailing address
108 FINNEGAN CT, MYRTLE BEACH, SC 29579
(843) 903-9993
(843) 903-3356

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
712
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007129
SC
01
712
MEDICAL LICENSE
SC
Enumeration date
08/22/2005
Last updated
02/22/2021
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