Individual
JASON WILLIAM FOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 454-7422
(864) 454-8265
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27616
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
27616
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276169
—
SC
01
—
4569225
CIGNA
SC
01
—
576007863158
BCBS OF SC
SC
01
—
7588637
AETNA
SC
01
—
P00398610
RR MEDICARE
SC
Enumeration date
06/01/2006
Last updated
11/10/2022
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