Individual
DR. JACOB ELIDGE ENTERKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4070 HIGHWAY 17, MURRELLS INLET, SC 29576-5033
(843) 652-1000
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LL29855
SC
2085R0202X
Diagnostic Radiology Physician
Primary
29855
SC
2085R0202X
Diagnostic Radiology Physician
Primary
305416
LA
Other
Enumeration date
06/27/2007
Last updated
04/26/2026
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