# JERVEY EYE GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073903613
- **Authorized official:** BRIAN WELLS SHELLEY MD (MANAGING PARTNER)
- **Authorized official phone:** (864) 458-3982

## Contact information

- **Practice address:** 5 STEVENS ST, GREENVILLE, SC 29605-4528
- **Practice address phone:** (864) 250-6484
- **Mailing address:** 601 HALTON RD, GREENVILLE, SC 29607-3403
- **Mailing address phone:** (864) 458-7956
- **Mailing address fax:** (864) 458-3836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 35380 | SC | Yes |

## Other

- **Enumeration date:** 02/04/2015
- **Last updated:** 01/06/2022