Individual
JOSEPH HAROLD WENTZKY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 MEDICAL PKWY, SUITE 200, GREER, SC 29650-2441
(864) 797-9400
(864) 797-9402
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10427
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104274
—
SC
01
—
576007863006
BCBS
SC
01
—
P00615797
RAILROAD MEDICARE
SC
01
—
P00801272
RR MEDICARE
SC
Enumeration date
08/12/2005
Last updated
12/16/2013
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