Individual
DR. JEFFREY CARL PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
0101277715
VA
2086S0120X
Pediatric Surgery Physician
Primary
2086S0120X
GA
2086S0120X
Pediatric Surgery Physician
35.092404
OH
2086S0120X
Pediatric Surgery Physician
9500178
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12334
BCBS NC
NC
05
—
2881645
—
OH
01
—
370015118
RAILROAD MEDICARE
NC
05
—
8912334
—
NC
Enumeration date
09/14/2005
Last updated
07/25/2025
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