IndividualActive
Jerry Squires, MD
NPI 1194917450 · Clinical Pathology/Laboratory Medicine Physician · Charleston, SC
Provider details
- NPI number
- 1194917450
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD30197 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
171 Ashley Ave
Charleston, SC 29425-0001
Phone: (843) 792-6200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751461
Charlotte, NC 28275-1461
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2024-08-08
- Certified
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.