Individual
JEFFREY ALLEN SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 SAINT FRANCIS DR, SUITE 130, GREENVILLE, SC 29601-3965
(864) 232-8296
Mailing address
317 SAINT FRANCIS DR, SUITE 130, GREENVILLE, SC 29601-3965
(864) 232-8296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11731
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117313
—
SC
Enumeration date
09/14/2006
Last updated
07/08/2007
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