Individual
DR. JEREMIAH J. JIMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
113 S MAIN ST, SUMMERVILLE, SC 29483-6007
(843) 873-6004
(843) 871-0400
Mailing address
113 S MAIN ST, SUMMERVILLE, SC 29483-6007
(843) 873-6004
(843) 871-0400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011070-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3131
LICENSE/CHIROPRACTOR
SC
Enumeration date
06/09/2006
Last updated
07/08/2007
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