Individual
DR. JEROME LAWRENCE FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-9125
(843) 792-3551
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-9125
(843) 792-3551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88764
SC
Other
Enumeration date
03/23/2020
Last updated
10/17/2025
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