Individual
NATASHIA A JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 W SOUTH ST, UNION, SC 29379
(864) 427-8380
(864) 427-8308
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
200500632
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
26475
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264751
—
SC
05
—
5900750
—
NC
01
—
AA80663365
MEDICARE PIN
SC
01
—
AA80666162
MEDICARE PIN
SC
01
—
AA8066H918
MEDICARE PIN
SC
01
—
P01577394
RAILROAD MEDICARE
SC
Enumeration date
08/19/2005
Last updated
01/22/2021
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