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NPI Code Detail

MEDICARE: SUMMAR SANDERS JONES

MEDICARE: SUMMAR SANDERS JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902530827
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMAR SANDERS JONES
Provider Business Mailing Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 843-852-4100
Fax Number :
Provider Business Practice Location Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 843-852-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2022
Last Update Date : 03/06/2026

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Directions to “ SUMMAR SANDERS JONES ” Practice Location

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