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Individual

MR. JEREMY CHAD STILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.0500406-CR
OH
101YP2500X
Professional Counselor
C.0500406-CR
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
23553
SC
363LF0000X
Family Nurse Practitioner
23553
SC

Other

Enumeration date
08/11/2008
Last updated
11/11/2020
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