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1164108452
JEFFERY FALLAH
CHARLESTON, SC
NPI
1164108452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: SC LL90086)
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
Dr. JEFFERY FALLAH MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-1414
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Mailing Address
Dr. JEFFERY FALLAH MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 843-792-4607
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