Individual
JENNIFER SOMMERVILLE COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1686 SKYLYN DR, SUITE 201, SPARTANBURG, SC 29307-1079
(864) 582-8135
(864) 573-9757
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27223
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272234
—
SC
01
—
576007863102
BCBS
SC
Enumeration date
07/05/2006
Last updated
08/01/2013
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