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1013166990
JEFFREY A LARSON
ANDERSON, SC
NPI
1013166990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: SC 83826)
Additional Taxonomies
208800000X Urology
(Licence: MO 2013019928)
Enumeration Date
2008-09-16
Last Update Date
2020-08-12
Business Address
Dr. JEFFREY A LARSON MD
2000 E GREENVILLE ST
ANDERSON, SC 29621-1580
Phone number: 864-716-6100
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Mailing Address
Dr. JEFFREY A LARSON MD
PO BOX 100174
COLUMBIA, SC 29202-3174
Phone number: 864-716-6100
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