JACK RUNNELS

SUMTER, SC
NPI1710627617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  LL87542)
Enumeration Date2022-03-30
Last Update Date2022-07-08
Business Address
JACK RUNNELS
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9755
Mailing Address
JACK RUNNELS
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: