IndividualActive
Alan Jolles, M.D., P.A.
NPI 1093744849 · Family Medicine Physician · Orangeburg, SC
Provider details
- NPI number
- 1093744849
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 17228 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1748 Saint Matthews Rd
Orangeburg, SC 29118-2441
Phone: (803) 536-0613
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 749306
Atlanta, GA 30374-9306
Additional practice locations (1)
- 125 Express LnOrangeburg, SC 29118-2477Phone: (803) 535-3507Fax: (803) 535-3514
Registry dates
- Enumerated
- 2006-07-02
- Last updated
- 2024-11-11
- Certified
- 2024-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.