Organization
INTERNAL MEDICINE OF WALTERBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RAE KRAMER MD (OWNER)
(843) 542-9535
Entity
Organization
Contact information
Practice address
873 ROBERTSON BLVD, WALTERBORO, SC 29488
(843) 542-9535
(843) 542-9675
Mailing address
873 ROBERTSON BLVD, WALTERBORO, SC 29488
(843) 542-9535
(843) 542-9675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18426
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184268
—
SC
01
—
G649288697
MEDICARE ID
SC
05
—
GP2942
—
SC
Enumeration date
02/02/2007
Last updated
05/14/2013
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