Mccallum, Jeremy R

Mccallum, Jeremy R is an individual health care provider with primary practice located at 3980 Highway 9 E Ste 200 , Little River SC 29566-8164. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mccallum, Jeremy R can be contacted via phone (843) 390-0100.

Contact Information

Primary practice address
3980 Highway 9 E Ste 200 Little River SC 29566-8164
Phone: (843) 390-0100
Fax: (843) 390-0038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 82208 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 82208 South Carolina

Profile Details

NPI number 1134440738
LBN Legal business name Mccallum, Jeremy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Feb 22nd, 2021 - about 4 years ago

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 1134440738 NPPES
South Carolina MEDICAID 822088

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