Individual
DR. CHARLES STEWART JERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
200 PATEWOOD DR STE B350, GREENVILLE, SC 29615-6337
(864) 454-4500
(864) 454-4505
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101268933
VA
2084N0400X
Neurology Physician
15014
SC
2084N0400X
Neurology Physician
2020001526
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150142
—
SC
05
—
200080119
—
MO
Enumeration date
03/16/2006
Last updated
01/30/2024
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