Individual
DR. JEFFREY MICHAEL DERBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-6840
(864) 455-3225
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
61232
SC
208M00000X
Hospitalist Physician
61232
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612322
—
SC
Enumeration date
05/09/2013
Last updated
09/16/2025
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