Elder, Jeffrey Wayne

Elder, Jeffrey Wayne is an individual health care provider with primary practice located at 900 W Faris Rd , Greenville SC 29605-4255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Elder, Jeffrey Wayne can be contacted via phone (864) 679-3900.

Contact Information

Primary practice address
900 W Faris Rd Greenville SC 29605-4255
Phone: (864) 679-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 43517 Kentucky
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 35696 South Carolina

Profile Details

NPI number 1457569923
LBN Legal business name Elder, Jeffrey Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Feb 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457569923 NPPES
South Carolina MEDICAID 356965

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