Individual
DR. DEANN WYBENGA JEBAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
(843) 777-2810
Mailing address
PO BOX 100551, FLORENCE, SC 29502-0551
(843) 777-2800
(843) 777-2810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL4759
SC
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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