Individual
DR. JENNIFER ANNE STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
570 LONG POINT RD, SUITE 200, MT PLEASANT, SC 29464-7930
(843) 881-0320
(843) 881-5453
Mailing address
570 LONG POINT RD, SUITE 200, MT PLEASANT, SC 29464-7930
(843) 881-0320
(843) 881-5453
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25537
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25537
SC INDIVIDUAL LICENSE
SC
05
—
255379
—
SC
01
—
H188797818
MEDICARE INDIVIDUAL PTAN
SC
Enumeration date
05/04/2006
Last updated
09/08/2021
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