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Individual
DR. EDWARD D JERVEY
Active
Individual
DR. EDWARD D JERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5266
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760431035
NPI
—
05
—
52668
—
SC
01
—
B916671571
MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE
SC
01
—
B916676180
MEDICARE UPIN GROUP NUMBER GREER OFFICE
SC
Enumeration date
05/06/2006
Last updated
03/15/2012
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