Individual
JASON DAVID DAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 MAIN ST, SUITE A, GREENWOOD, SC 29646-2757
(864) 229-4446
(864) 229-8037
Mailing address
313 MAIN ST, SUITE B, GREENWOOD, SC 29646-2757
(864) 388-0301
(864) 388-0648
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21167
SC
Other
Enumeration date
06/16/2006
Last updated
09/18/2013
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