Individual
DR. JEFFREY BRIAN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 PATEWOOD DR STE B400, GREENVILLE, SC 29615-6306
(864) 454-4368
(864) 241-9232
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2008002421
MO
207Y00000X
Otolaryngology Physician
Primary
86203
SC
207Y00000X
Otolaryngology Physician
TP865
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
01
—
TP865
KY LICENSE
KY
Enumeration date
12/20/2006
Last updated
05/11/2026
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