Jester, David M

Jester, David M is an individual health care provider with primary practice located at 105 East Hugh Street , North Augusta SC 29841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jester, David M can be contacted via phone (803) 279-6800.

Contact Information

Primary practice address
105 East Hugh Street North Augusta SC 29841
Phone: (803) 279-6800
Fax: (803) 279-2876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27787 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 040111 Georgia

Profile Details

NPI number 1710921689
LBN Legal business name Jester, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710921689 NPPES
South Carolina Other 27787 SC STATE MEDICAL BOARD LICENSE
South Carolina Other 040111 SC STATE MEDICAL BOARD LICENSE
South Carolina MEDICAID 000660206B SC STATE MEDICAL BOARD LICENSE
South Carolina Other 10056128 SC STATE MEDICAL BOARD LICENSE
South Carolina MEDICAID G40111 SC STATE MEDICAL BOARD LICENSE

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