Greene, Jennifer A

Greene, Jennifer A is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 240 , West Columbia SC 29169-4800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Greene, Jennifer A can be contacted via phone (803) 936-7590.

Contact Information

Primary practice address
146 E Hospital Dr Ste 240 West Columbia SC 29169-4800
Phone: (803) 936-7590
Fax: (803) 936-7589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2006-01311 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2006-01311 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 26413 South Carolina

Profile Details

NPI number 1508971672
LBN Legal business name Greene, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 17th, 2023 - 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 1508971672 NPPES
North Carolina MEDICAID 5904789
North Carolina MEDICAID 10410533
North Carolina MEDICAID 3810008109
North Carolina Other 7679888
North Carolina Other 808445
North Carolina Other 143EJ
North Carolina Other 191437

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