Individual
DENNIS GREGG JURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6287
(864) 560-7091
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17293
STATE MEDICAL LICENSE
SC
05
—
172930
—
SC
01
—
B092663365
MEDICARE PIN
SC
01
—
SCB0575019
MEDICARE PIN
SC
Enumeration date
01/10/2006
Last updated
01/26/2021
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