Individual
SOLOMON JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2000
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-90090
OH
208M00000X
Hospitalist Physician
Primary
36530
SC
209800000X
Legal Medicine (M.D./D.O.) Physician
36530
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805745
—
OH
Enumeration date
01/23/2008
Last updated
01/26/2021
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