Individual
DR. JONATHAN ROBERT FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-4500
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
31976
SC
207VX0201X
Gynecologic Oncology Physician
Primary
31976
SC
Other
Enumeration date
06/30/2009
Last updated
09/05/2013
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