Individual
MR. JAFER NASSER GHERAIBEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 THURGOOD MARSHALL HWY, KINGSTREE, SC 29556-4143
(843) 355-1969
(843) 355-1869
Mailing address
500 THURGOOD MARSHALL HWY, SUITE D, KINGSTREE, SC 29556-4143
(843) 355-1969
(843) 355-1969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10718
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107182
—
SC
Enumeration date
12/01/2005
Last updated
07/09/2007
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