Individual
MR. JOHN WILLIAM PENCE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1815 OLD TROLLEY RD, SUMMERVILLE, SC 29485
(843) 875-0440
(843) 875-0442
Mailing address
1815 OLD TROLLEY RD, SUMMERVILLE, SC 29485
(843) 875-0440
(843) 875-0442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL9452
—
SC
Enumeration date
07/03/2006
Last updated
07/08/2007
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