Individual
CHRISTOPHER R. JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 DUNLAP RD, ANDERSON, SC 29621-2501
(864) 226-2582
Mailing address
1115 DUNLAP RD, ANDERSON, SC 29621-2501
(864) 226-4284
(864) 801-1312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20614
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
20614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000956667C
GEORGIA MEDICAID
GA
01
—
004916614
SC DRIVERS LICENSE
SC
05
—
206146
—
SC
Enumeration date
06/13/2006
Last updated
12/13/2023
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