Individual
JEFFREY AUSTIN GERAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, 5TH FLOOR, GREENVILLE, SC 29605-5611
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
27063
SC
208000000X
Pediatrics Physician
27063
SC
208M00000X
Hospitalist Physician
Primary
27063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270637
—
SC
01
—
576007863095
BCBS OF SC
SC
01
—
P00660915
RR MEDICARE
SC
Enumeration date
09/22/2006
Last updated
06/07/2021
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