Individual
DR. JEFFERY L DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 442-0227
Mailing address
1570 SPINNAKER LN, CHARLESTON, SC 29407-9659
(843) 766-6082
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12384
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123841
—
SC
Enumeration date
07/07/2005
Last updated
11/25/2013
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