Individual
MR. JASON M HIGHSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 RIVERS AVE STE 242, N CHARLESTON, SC 29406-4616
(843) 510-0727
(843) 474-0712
Mailing address
7301 RIVERS AVE STE 242, N CHARLESTON, SC 29406-4616
(843) 510-0727
(843) 474-0712
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
057641
GA
207T00000X
Neurological Surgery Physician
Primary
29442
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061102
—
SC
Enumeration date
07/20/2006
Last updated
05/24/2023
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