Organization
JAG MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED GUICHARD MD (OWNER)
(619) 933-5382
Entity
Organization
Contact information
Practice address
105 S CEDAR ST STE G, SUMMERVILLE, SC 29483-6078
(619) 933-5382
Mailing address
1219 RAVEN RD, HANAHAN, SC 29410-8509
(619) 933-5382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669734760
—
SC
Enumeration date
11/05/2019
Last updated
01/02/2020
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