Individual
JASON MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605-4281
(864) 455-7874
(864) 455-8933
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0053464
MD
207RP1001X
Pulmonary Disease Physician
Primary
93984
SC
207RP1001X
Pulmonary Disease Physician
D53464
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0053464
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025
BS/BS
MD
01
—
296005
RAILROAD MEDICARE
—
01
—
70787506
BC/BS
MD
Enumeration date
06/26/2006
Last updated
08/06/2025
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