Individual
DR. JEROME GLENN DEAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST STE 812, CHARLESTON, SC 29425-8900
(843) 792-2911
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL88057
SC
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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