Whalio Doctors

NPI 1770715021

Jens Mittler, MD

Practitioner Community Health Worker Charleston, SC

Practice location

Address
96 Jonathan Lucas St Csb 409, Charleston, SC 29425-8900
Phone
(843) 792-8358
Fax
(843) 792-8596

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence LL32094 (SC)

Registry record

NPI
1770715021
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Aug 2009
Record last updated
20 Aug 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.