Individual
JEFFERY C PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR STE 140&350, WEST COLUMBIA, SC 29169-4800
(803) 936-7966
Mailing address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
(864) 725-4883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52681
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
52681
SC
Other
Enumeration date
04/03/2018
Last updated
07/20/2022
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