Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB ELIDGE ENTERKIN
Active Sole ProprietorDR. JACOB ELIDGE ENTERKIN is a Diagnostic Radiology healthcare provider located in HARTSVILLE, South Carolina. NPI 1306043096 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · HARTSVILLE, SC
Registration Details
- NPI Number
- 1306043096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2007 (19.129471648607 yrs)
- Last Updated
- Dec 26, 2017
- Licenses
-
LL29855 (SC)29855 (SC)305416 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1304 W BOBO NEWSOM HWYHARTSVILLE, SC, 295504710Browse SC providers · Browse ZIP 29550
- Phone
- 8433394790
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in HARTSVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| SALLY WEBB REGAN | MD | 1285624023 |
| LOUIS ROEMHILDT | M.D. | 1386611556 |
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.