Provider Demographics
NPI:1467163113
Name:JWKE INTERNAL MEDICINE LLC
Entity Type:Organization
Organization Name:JWKE INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:803-226-9691
Mailing Address - Street 1:3000 WOODSIDE EXECUTIVE CT
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-3831
Mailing Address - Country:US
Mailing Address - Phone:803-226-9691
Mailing Address - Fax:803-226-0752
Practice Address - Street 1:3000 WOODSIDE EXECUTIVE CT
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-3831
Practice Address - Country:US
Practice Address - Phone:803-226-9691
Practice Address - Fax:803-226-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty