MR. JEFFREY WALTER HERNDON
Managed Care Organizations at Academy Rd, Walterboro, SC

License number
South Carolina 165834
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Address
Address
990 Academy Rd, Walterboro, SC 29488
Phone
(843) 893-8122
(843) 549-2650 (Fax)
National Provider ID: 1649604000
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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