Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY WALTER HERNDON
Active Sole ProprietorMR. JEFFREY WALTER HERNDON is a Exclusive Provider Organization healthcare provider located in WALTERBORO, South Carolina. NPI 1649604000 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · WALTERBORO, SC
Registration Details
- NPI Number
- 1649604000
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2013 (12.994064890509 yrs)
- Last Updated
- Aug 21, 2013
- License
-
165834 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
990 ACADEMY RDWALTERBORO, SC, 294889266Browse SC providers · Browse ZIP 29488
- Phone
- 8438938122
- Fax
- 8435492650
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
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.