Individual
JENNIFER O KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
204 UNIVERSITY BLVD, CONWAY, SC 29526-8834
(843) 349-6543
Mailing address
133 GREEN LAKE DR, MYRTLE BEACH, SC 29572-5506
(843) 318-6746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27353
SC
Other
Enumeration date
06/26/2008
Last updated
10/30/2015
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