Individual
JEFFREY KIRK HENSARLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10630 CLEMSON BLVD, SUITE 100, SENECA, SC 29678-4546
(864) 482-6000
(864) 482-7166
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20679
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
20679
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200045060
RR MEDICARE
SC
05
—
206798
—
SC
01
—
431476513
BCBS
SC
Enumeration date
03/21/2006
Last updated
02/07/2024
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