Clevenger, Jeffrey Cabot
Clevenger, Jeffrey Cabot is an individual health care provider with primary practice located at 300 Palmetto Health Pkwy Ste 400 , Columbia SC 29212-1764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Clevenger, Jeffrey Cabot can be contacted via phone (803) 434-3800.Contact Information
Primary practice address
300 Palmetto Health Pkwy Ste 400
Columbia SC 29212-1764
Phone: (803) 434-3800
Fax: (803) 744-2759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 200000752 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 200000752 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 87591 | South Carolina |
Profile Details
| NPI number | 1801876909 |
|---|---|
| LBN Legal business name | Clevenger, Jeffrey Cabot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jul 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801876909 | NPPES |
| North Carolina | Other | 1266W | BCBS ID# |
| North Carolina | Other | 40724 | BCBS ID# |
| North Carolina | Other | 1285682310 | BCBS ID# |
| North Carolina | MEDICAID | 891266W | BCBS ID# |
| North Carolina | MEDICAID | 1801876909 | BCBS ID# |
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