Jervey, Edward D

Jervey, Edward D is an individual health care provider with primary practice located at 113 Doctors Dr , Greenville SC 29605-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jervey, Edward D can be contacted via phone (864) 269-3333.

Contact Information

Primary practice address
113 Doctors Dr Greenville SC 29605-5608
Phone: (864) 269-3333
Fax: (864) 295-1288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 5266 South Carolina

Profile Details

NPI number 1760431035
LBN Legal business name Jervey, Edward D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Mar 15th, 2012 - about 13 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 1760431035 NPPES
South Carolina Other B916671571 MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE
South Carolina Other B916676180 MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE
South Carolina Other 1760431035 MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE
South Carolina MEDICAID 52668 MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE

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