Individual
DR. JASON GREER LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1002
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
11680333-1205
UT
Other
Enumeration date
05/24/2010
Last updated
06/25/2024
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