Gross, Jeffrey Glenn
Gross, Jeffrey Glenn is an individual health care provider with primary practice located at 7620 Trenholm Road Ext , Columbia SC 29223-1718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Gross, Jeffrey Glenn can be contacted via phone (803) 736-7200.Contact Information
Primary practice address
7620 Trenholm Road Ext
Columbia SC 29223-1718
Phone: (803) 736-7200
Fax: (803) 736-2116
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 14505 | South Carolina |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 14505 | South Carolina |
Profile Details
NPI number | 1427059351 |
---|---|
LBN Legal business name | Gross, Jeffrey Glenn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2005 |
Last updated | Aug 4th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427059351 | NPPES |
South Carolina | MEDICAID | TL2900 |
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