Individual
DR. JASON DANIEL HUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3510 N HIGHWAY 17 STE 110, MT PLEASANT, SC 29466-8228
(843) 763-3360
(843) 763-3038
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TL32685
SC
207RP1001X
Pulmonary Disease Physician
Primary
32685
SC
207RP1001X
Pulmonary Disease Physician
57.008655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326855
—
SC
01
—
P00908549
RAILROAD MC ID-RSFPN
SC
Enumeration date
04/13/2007
Last updated
12/16/2020
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