MR. Jerry L Mcdaniel

NPI #1720131550 in Salters, South Carolina

Provider Information

NPI Number: 1720131550
Entity Type: Individual
Name: MR. Jerry L Mcdaniel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 481 DIXIE ROAD
City: Salters
State: South Carolina
ZIP Code: 29590
Phone: (843) 387-5842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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