NPI 1336171487

Mark S Jeanjaquet, MD

Practitioner Emergency Medicine Physician Conway, SC

Practice location

Address: 300 Singleton Ridge Rd, Conway, SC 29526-9142
Phone: (843) 347-8015
Fax: (843) 347-8017
Mailing address: PO Box 829, Conway, SC 29528-0829

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 18065 (SC)

Other Emergency Medicine providers in South Carolina →

Registry record

NPI: 1336171487
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2006
Record last updated: 30 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.