Individual
JEFFREY WAYNE ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 679-3900
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
35696
SC
207VX0201X
Gynecologic Oncology Physician
43517
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356965
—
SC
Enumeration date
05/18/2007
Last updated
02/22/2018
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