Individual
DR. EDWARD D JERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 269-3333
(864) 295-1288
Mailing address
113 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 269-3333
(864) 295-1288
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5266
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760431035
NPI
—
05
—
52668
—
SC
01
—
B916671571
MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE
SC
01
—
B916676180
MEDICARE UPIN GROUP NUMBER GREER OFFICE
SC
Enumeration date
05/06/2006
Last updated
03/15/2012
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