Provider Demographics
NPI:1225532690
Name:ROCKMORE, JESSE CALEB (DO)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:CALEB
Last Name:ROCKMORE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1285 WILSON HALL RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-5631
Mailing Address - Country:US
Mailing Address - Phone:803-905-3555
Mailing Address - Fax:803-905-3570
Practice Address - Street 1:1285 WILSON HALL RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-5631
Practice Address - Country:US
Practice Address - Phone:803-905-3555
Practice Address - Fax:803-905-3570
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2024-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC87956208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology