Individual
DR. JEREMY RAY ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2027
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2027
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2008-01445
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
31636
SC
Other
Enumeration date
08/17/2007
Last updated
09/16/2010
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