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Individual

JEREMY SPARKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925
Mailing address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5817
OK
207XX0801X
Orthopaedic Trauma Physician
Primary
83088
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/10/2014
Last updated
02/24/2021
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