JACK ALLAN STAUFFER

SUMMERVILLE, SC
NPI1396703740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  629)
Enumeration Date2006-05-03
Last Update Date2016-08-30
Business Address
-- JACK ALLAN STAUFFER FNP
435 N CEDAR ST
SUMMERVILLE, SC 29483-6407
Phone number: 843-873-1592
Mailing Address
-- JACK ALLAN STAUFFER FNP
201 SIGMA DR STE 100
SUMMERVILLE, SC 29486-7715
Phone number: 843-554-8312
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