Individual
KYLE JAMES JERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7077
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4536
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
16620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPROVED
RAILROAD MEDICARE
SC
05
—
APPROVED
—
SC
Enumeration date
05/12/2006
Last updated
03/03/2017
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