Individual
MISS JESSICA SALEM ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
705 N 8TH AVE STE 2B, DILLON, SC 29536
(843) 841-3846
(843) 841-3848
Mailing address
705 N 8TH AVE STE 2B, DILLON, SC 29536-2549
(843) 841-3846
(843) 841-3848
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1669784344
NJ
208600000X
Surgery Physician
30964
MS
208600000X
Surgery Physician
Primary
82967
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669784344
—
NJ
Enumeration date
07/09/2010
Last updated
10/20/2023
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