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Individual

JENNIFER LYNN PERUGINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84528
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105558447
DRIVER'S LICENSE
SC
Enumeration date
02/25/2020
Last updated
06/23/2025
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