Kerley, Eric L
Kerley, Eric L is an individual health care provider with primary practice located at 1056 Felton St , Summerton SC 29148-7169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kerley, Eric L can be contacted via phone (803) 488-4800.Contact Information
Primary practice address
1056 Felton St
Summerton SC 29148-7169
Phone: (803) 488-4800
Fax: (803) 488-4801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD39291 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 293258 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD39291 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34416 | South Carolina |
Profile Details
| NPI number | 1770533523 |
|---|---|
| LBN Legal business name | Kerley, Eric L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 20th, 2022 - about 4 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 | 1770533523 | NPPES |
| Tennessee | MEDICAID | 3332441 | |
| Tennessee | MEDICAID | 344167 |
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