Individual
MR. JEROME FRANCIS MEGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
(864) 299-1600
Mailing address
102 PINEFOREST DR, ANDERSON, SC 29625-2636
(864) 226-5111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN 1018
SC
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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