Gregory, Jonathan M

Gregory, Jonathan M is an individual health care provider with primary practice located at 1414 Gleasons Landing Dr , Saint Helena Island SC 29920-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gregory, Jonathan M can be contacted via phone (843) 838-4208.

Contact Information

Primary practice address
1414 Gleasons Landing Dr Saint Helena Island SC 29920-3814
Phone: (843) 838-4208
Fax: (843) 838-3779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21611 South Carolina

Profile Details

NPI number 1417940792
LBN Legal business name Gregory, Jonathan M
Credentials M.D., FACC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Nov 10th, 2009 - about 16 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 1417940792 NPPES
South Carolina MEDICAID GP0624

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