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Contact Information

JERRY E SQUIRES, MD
171 ASHLEY AVE
CHARLESTON, SC29425-0001
 Phone: 843-792-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Blood Banking & Transfusion Medicine

207ZB0001X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JERRY E SQUIRES · (Male)

NPI # 1194917450
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2007
Last updated 08/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # AL30197
  • SC License # MD30197
Hospital affiliation(s)
  • MUSC MEDICAL CENTER - (Acute Care)
    169 ASHLEY AVE
    CHARLESTON, SC 29425
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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