Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 4680 | SC |
N | 1223G0001X | General Practice | 150669 | NC |
N | 213EG0000X | General Practice | 150669 | NC |
NPI | 1053573436 |
---|---|
Provider Name | Jami Studer |
First Address | Greenville, SC 29605-4407 |
Second Address | Greenville, SC 29605-4407 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 17/08/2011 |