Individual
JACOB WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-2575
Mailing address
169 ASHLEY AVE, ROOM202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
(843) 876-0888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL90331
SC
Other
Enumeration date
04/19/2023
Last updated
06/26/2023
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