Individual
WILLIAM RUSSELL JENNINGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 MEDICAL PARK DRIVE, STE 350 PALMETTO HEALTH RICHLAND DEPT OF EMERGENCY MED, COLUMBIA, SC 29203
(803) 434-6690
(803) 434-3946
Mailing address
5 MEDICAL PARK DRIVE, DEPT OF EMERGENCY MEDICINE PALMETTO HEALTH RICHLAND, COLUMBIA, SC 29203
(803) 434-6690
(803) 434-3946
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24096
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240965
—
SC
Enumeration date
03/22/2006
Last updated
07/29/2008
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