Smith, Jeremiah Duane
Smith, Jeremiah Duane is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Jeremiah Duane can be contacted via phone (864) 455-7899.Contact Information
Primary practice address
701 Grove Rd
Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01068533A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 39280 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 39280 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | V6101 | Texas |
Profile Details
| NPI number | 1982863270 |
|---|---|
| LBN Legal business name | Smith, Jeremiah Duane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Feb 11th, 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 | 1982863270 | NPPES |
| South Carolina | MEDICAID | 392809 | |
| South Carolina | MEDICAID | 200996300 |
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