Individual
JEREMY JAMES ACKERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2061 HWY 52, MONCKS CORNER, SC 29461-0995
(843) 761-8800
(843) 761-8824
Mailing address
2061 HWY 52, MONCKS CORNER, SC 29461-0995
(843) 761-8800
(843) 761-8824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
976
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009760
—
SC
01
—
080172610
RAILROAD MCARE
—
Enumeration date
06/24/2006
Last updated
05/25/2022
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