Individual
JOSEPH MICHAEL JAFFKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1220 SUMNER AVE, NORTH CHARLESTON, SC 29406-3822
(843) 225-1115
Mailing address
113 CYPRESS VIEW RD, GOOSE CREEK, SC 29445-9630
(843) 696-3954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3490
SC
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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