Individual
JEFFREY MICHAEL SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8009
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
35.128908
OH
2086X0206X
Surgical Oncology Physician
Primary
86792
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2010
Last updated
11/01/2021
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