Individual
DR. JESSE PAUL JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054754
GA
207RC0000X
Cardiovascular Disease Physician
30861
SC
207RI0011X
Interventional Cardiology Physician
Primary
30861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308615
—
SC
Enumeration date
10/16/2006
Last updated
05/17/2023
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