Search › South Carolina › 152W00000X
Larry Jerge, O.D
NPI 1861492407 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1151 Stonecrest Blvd.
Fort Mill, SC 29708 - Phone
- (803) 802-4733
- Fax
- (803) 802-4735
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- NY, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina