Granger, Jacqueline Joyce Peebles

Granger, Jacqueline Joyce Peebles is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Granger, Jacqueline Joyce Peebles can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27145 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 27145 South Carolina

Profile Details

NPI number 1457438368
LBN Legal business name Granger, Jacqueline Joyce Peebles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 27th, 2022 - about 2 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 1457438368 NPPES
South Carolina MEDICAID 271459

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