Individual
MR. JOHN OLIVER ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7092
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1058
SC
363AS0400X
Surgical Physician Assistant
Primary
1058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799PA
—
SC
01
—
218442
MEDCOST
SC
Enumeration date
04/15/2009
Last updated
02/22/2021
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