Individual
JENS MITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST, CSB 409, CHARLESTON, SC 29425-8900
(843) 792-8358
(843) 792-8596
Mailing address
96 JONATHAN LUCAS ST, CSB 409, CHARLESTON, SC 29425-8900
(843) 792-8358
(843) 792-8596
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
LL32094
SC
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
About Stedi
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