Individual
DR. JARRED JORGE JUSTIN SARGEANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N SUMTER ST STE 202, SUMTER, SC 29150-4975
(803) 774-9797
(803) 933-3012
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
52793
SC
207RI0011X
Interventional Cardiology Physician
Primary
52793
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/05/2015
Last updated
08/11/2023
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