Individual
JAKE A. KRIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 545-5350
(803) 545-5353
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL31133
SC
207RP1001X
Pulmonary Disease Physician
Primary
31133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311335
—
SC
Enumeration date
07/02/2008
Last updated
01/24/2020
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