Individual
JAY G KIRKHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14 RICHLAND MEDICAL PARK DR STE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
Mailing address
900 MEDICAL CENTER DR STE 205, SEWELL, NJ 08080-2358
(844) 542-2273
(856) 553-4390
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB09418500
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
83693
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
H90000
MD
207RP1001X
Pulmonary Disease Physician
25MB09418500
NJ
208M00000X
Hospitalist Physician
83693
SC
Other
Enumeration date
09/06/2011
Last updated
12/01/2022
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