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Organization
JERVEY EYE GROUP, PA
Active
Organization
JERVEY EYE GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WELLS SHELLEY MD (MANAGING PARTNER)
(864) 458-3982
Entity
Organization
Contact information
Practice address
5 STEVENS ST, GREENVILLE, SC 29605-4528
(864) 250-6484
Mailing address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-3836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35380
SC
Other
Enumeration date
02/04/2015
Last updated
01/06/2022
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