Galloway, Jerry E

Galloway, Jerry E is an individual health care provider with primary practice located at 202 Overland Dr , Greenwood SC 29646-4069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Galloway, Jerry E can be contacted via phone (864) 943-2010.

Contact Information

Primary practice address
202 Overland Dr Greenwood SC 29646-4069
Phone: (864) 943-2010
Fax: (864) 323-0345
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 10472 South Carolina

Profile Details

NPI number 1134128630
LBN Legal business name Galloway, Jerry E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 25th, 2011 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134128630 NPPES
South Carolina MEDICAID 104728
South Carolina Other 180046373
South Carolina MEDICAID GP4102

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