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
Phone: (943) 202-7820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629063722 | NPPES |
| Ohio | MEDICAID | 2881645 | |
| Ohio | MEDICAID | 8912334 | |
| Ohio | Other | 12334 | |
| Ohio | Other | 370015118 |
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