Pence, Jeffrey Carl

Pence, Jeffrey Carl is an individual health care provider with primary practice located at 175 White St Nw Ste 200 , Marietta GA 30060-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Pence, Jeffrey Carl can be contacted via phone (943) 202-7820.

Contact Information

Primary practice address
175 White St Nw Ste 200 Marietta GA 30060-7901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 9500178 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35.092404 Ohio
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101277715 Virginia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2086S0120X Georgia

Profile Details

NPI number 1629063722
LBN Legal business name Pence, Jeffrey Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 25th, 2025 - about last year

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 1629063722 NPPES
Ohio MEDICAID 2881645
Ohio MEDICAID 8912334
Ohio Other 12334
Ohio Other 370015118

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