Jervey, Charles Stewart

Jervey, Charles Stewart is an individual health care provider with primary practice located at 200 Patewood Dr Ste B350 , Greenville SC 29615-6337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jervey, Charles Stewart can be contacted via phone (864) 454-4500.

Contact Information

Primary practice address
200 Patewood Dr Ste B350 Greenville SC 29615-6337
Phone: (864) 454-4500
Fax: (864) 454-4505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2020001526 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 15014 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101268933 Virginia

Profile Details

NPI number 1801865365
LBN Legal business name Jervey, Charles Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 30th, 2024 - about 10 months 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 1801865365 NPPES
Missouri MEDICAID 200080119
Missouri MEDICAID 150142

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