Organization
JERVEY EYE GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA L FARMER (SURGERY CENTER DIRECTOR)
(864) 250-6484
Entity
Organization
Contact information
Practice address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Mailing address
601 HALTON RD, GREENVILLE, SC 29607-3403
(864) 458-7956
(864) 458-8390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11002
SC
207W00000X
Ophthalmology Physician
24224
SC
207W00000X
Ophthalmology Physician
26913
SC
207W00000X
Ophthalmology Physician
291
SC
207W00000X
Ophthalmology Physician
7319
SC
207W00000X
Ophthalmology Physician
8984
SC
Other
Enumeration date
03/17/2011
Last updated
11/13/2019
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