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Individual

JEROME B DEGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1175 COOK RD, SUITE 305, ORANGEBURG, SC 29118-8201
(803) 536-9390
(803) 533-0911
Mailing address
1175 COOK RD, SUITE 305, ORANGEBURG, SC 29118-8201
(803) 536-9390
(803) 533-0911

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
07054
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070540
SC
Enumeration date
12/03/2007
Last updated
12/04/2007
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