Nesmith, Jarrell Dupree
Nesmith, Jarrell Dupree is an individual health care provider with primary practice located at 2400 Boiling Springs Rd , Boiling Springs SC 29316-5304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Nesmith, Jarrell Dupree can be contacted via phone (864) 599-0731.Contact Information
Primary practice address
2400 Boiling Springs Rd
Boiling Springs SC 29316-5304
Phone: (864) 599-0731
Fax: (864) 599-0791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36729 | South Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | South Carolina |
Profile Details
| NPI number | 1407267263 |
|---|---|
| LBN Legal business name | Nesmith, Jarrell Dupree |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | May 1st, 2023 - about 3 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 | 1407267263 | NPPES |
| South Carolina | MEDICAID | L36729 | |
| South Carolina | MEDICAID | PENDING | |
| South Carolina | Other | SCA7316121 | |
| South Carolina | Other | SCA7317628 | |
| South Carolina | Other | SCA731J577 | |
| South Carolina | Other | SCA7316067 |
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