Gwinn, Jane Vance

Gwinn, Jane Vance is an individual health care provider with primary practice located at 48 Creekview Ct , Greenville SC 29615-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Gwinn, Jane Vance can be contacted via phone (864) 458-7431.

Contact Information

Primary practice address
48 Creekview Ct Greenville SC 29615-4800
Phone: (864) 458-7431
Fax: (864) 458-7463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 11118 South Carolina

Profile Details

NPI number 1821089103
LBN Legal business name Gwinn, Jane Vance
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Nov 16th, 2015 - about 9 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 1821089103 NPPES
South Carolina MEDICAID 111186
South Carolina Other AA74976910

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