Individual
JIMMIE HOWELL TOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(678) 315-0320
Mailing address
562 HAWKINS RDG, JASPER, GA 30143-4794
(678) 315-0320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN178993
GA
Other
Enumeration date
01/21/2011
Last updated
04/01/2014
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