Mr. Jeffrey Walter Herndon
Mr. Jeffrey Walter Herndon is an Exclusive Provider Organization in Walterboro, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2013
Practice location Address checks out
990 Academy RdWalterboro, SC 29488-9266
Phone: (843) 893-8122
Fax: (843) 549-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 165834 (SC) |
|---|
Record details
| NPI number | 1649604000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2013 |
| Last updated in NPPES | August 21, 2013 |