Youkey, Jerry Ray

Youkey, Jerry Ray is an individual health care provider with primary practice located at 200 Patewood Dr Suite C300, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Youkey, Jerry Ray can be contacted via phone (864) 454-8272.

Contact Information

Primary practice address
200 Patewood Dr Suite C300 Greenville SC 29615-3593
Fax: (864) 454-2875
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 20573 South Carolina

Profile Details

NPI number 1952348393
LBN Legal business name Youkey, Jerry Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 25th, 2013 - about 11 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 1952348393 NPPES
South Carolina Other 770001939 RR MEDICARE
South Carolina MEDICAID T47223 RR MEDICARE

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