Gregory, Jonathan M
Gregory, Jonathan M is an individual health care provider with primary practice located at 1414 Gleasons Landing Dr , Saint Helena Island SC 29920-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gregory, Jonathan M can be contacted via phone (843) 838-4208.Contact Information
Primary practice address
1414 Gleasons Landing Dr
Saint Helena Island SC 29920-3814
Phone: (843) 838-4208
Fax: (843) 838-3779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 21611 | South Carolina |
Profile Details
| NPI number | 1417940792 |
|---|---|
| LBN Legal business name | Gregory, Jonathan M |
| Credentials | M.D., FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 10th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417940792 | NPPES |
| South Carolina | MEDICAID | GP0624 |
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