| Jag Medical Services Llc | |
|
105 S Cedar St Ste G Summerville SC 29483-6078 | |
| (619) 933-5382 | |
| Not Available |
| Full Name | Jag Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 S Cedar St Ste G, Summerville, South Carolina |
| Authorized Official Name and Position | Jared Guichard (OWNER) |
| Authorized Official Contact | 6199335382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Medical Services Llc 1219 Raven Rd Hanahan SC 29410-8509 Ph: (619) 933-5382 | Jag Medical Services Llc 105 S Cedar St Ste G Summerville SC 29483-6078 Ph: (619) 933-5382 |
| NPI Number | 1952945636 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952945636 | NPI | - | NPPES |
| 1669734760 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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