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Individual

JEFFREY CLARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1330 BOILING SPRINGS RD, SUITE 2500, SPARTANBURG, SC 29303-2244
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21714
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00007719
RAILROAD MEDICARE
SC
01
P01505880
RAILROAD MEDICARE
SC
05
T59772
SC
Enumeration date
02/28/2006
Last updated
06/21/2021
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