NPI 1679712137
Jerry W O'Neal
Practice location
- Address
- 40 Lanneau Dr Suite 2a, 1990 Augusta Street, Greenville, SC 29605-1708
- Phone
- (864) 232-3307
- Fax
- (864) 232-3308
- Mailing address
- 1990 Augusta St STE 2a, Greenville, SC 29605-2997
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1679712137
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Feb 2009
- Record last updated
- 30 Apr 2009
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.