Individual
JENNIFER A GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR STE 240, WEST COLUMBIA, SC 29169-4800
(803) 936-7590
(803) 936-7589
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2006-01311
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
26413
SC
207VM0101X
Maternal & Fetal Medicine Physician
2006-01311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10410533
—
VA
01
—
143EJ
BCBS
—
01
—
191437
MEDCOST
—
05
—
3810008109
—
WV
05
—
5904789
—
NC
01
—
7679888
AETNA
—
01
—
808445
PARTNERS
—
Enumeration date
08/20/2006
Last updated
01/17/2023
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