Individual
RUDOLF JAN JOKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(770) 874-5400
Mailing address
769 DRAGOON DR, MOUNT PLEASANT, SC 29464-3016
(843) 881-8770
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17202
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
17202
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T13367
—
SC
Enumeration date
08/29/2006
Last updated
07/10/2023
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