Individual
JERRY W O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 LANNEAU DR, SUITE 2A, 1990 AUGUSTA STREET, GREENVILLE, SC 29605-1708
(864) 232-3307
(864) 232-3308
Mailing address
1990 AUGUSTA ST STE 2A, GREENVILLE, SC 29605-2997
(864) 232-3307
(864) 232-3308
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/06/2009
Last updated
04/30/2009
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