Individual
DR. FLOYD E JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
1902 HOUGHTON DR, CHARLESTON, SC 29412-2906
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-00480
NC
207RP1001X
Pulmonary Disease Physician
2011-00480
NC
207RP1001X
Pulmonary Disease Physician
Primary
8473
SC
208M00000X
Hospitalist Physician
2011-00480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCG490B
MEDICARE PTAN
NC
Enumeration date
10/02/2006
Last updated
12/22/2016
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