Individual
JEFFREY E. STOEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 MILLS AVE, GREENVILLE, SC 29605-4015
(864) 522-8450
(864) 522-8455
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13942
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275610
CIGNA ID
SC
01
—
4417535
AETNA ID
SC
01
—
571004971001
BCBS OF SC ID
SC
05
—
TL3662
—
SC
Enumeration date
06/09/2006
Last updated
05/20/2021
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