Individual
DR. JEFFREY JOHN HOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 574-5693
(843) 764-4512
Mailing address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 574-5693
(843) 764-4512
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35613
SC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
35613
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831351360
—
WA
Enumeration date
06/26/2008
Last updated
02/21/2024
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