# DR. EDWARD D JERVEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760431035
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 5266 | SC | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 03/15/2012

## 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 |