Individual
JYOTI KIRAN MATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 BRENDAN WAY, GREENVILLE, SC 29615-3514
(864) 522-5030
(864) 522-5035
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
33054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330546
—
SC
01
—
P00951145
RAILROAD MEDICARE
SC
Enumeration date
02/25/2009
Last updated
06/18/2024
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