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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY EWING SQUIRES, MD

Active

JERRY EWING SQUIRES, MD is a Clinical Pathology/Laboratory Medicine healthcare provider located in CHARLESTON, South Carolina. NPI 1194917450 is currently active in the NPPES registry. Verify at CMS.

Clinical Pathology/Laboratory Medicine · CHARLESTON, SC

Registration Details

NPI Number
1194917450
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2007 (18.986335613836 yrs)
Last Updated
Aug 8, 2024
Licenses
MD30197 (SC)
AL30197 (SC)

Practice Information

Address
171 ASHLEY AVE
CHARLESTON, SC, 294250001
Browse SC providers · Browse ZIP 29425
Phone
8437926200
Primary Specialty
Clinical Pathology/Laboratory Medicine
207ZP0105X

Other Clinical Pathology/Laboratory Medicine Providers in CHARLESTON, SC

Name Credential NPI
CYNTHIA SCHANDL MD, PHD 1770507691
CHRISTOPHER LLOYD METTS M.D. 1730532565
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.