Robert L Jetton, MD | |
369 Woodruff Rd, Greenville, SC 29607-3415 | |
(864) 242-5872 | |
(864) 242-5640 |
Full Name | Robert L Jetton |
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Gender | Male |
Speciality | Dermatology - Dermatopathology |
Location | 369 Woodruff Rd, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740235563 | NPI | - | NPPES |
066555 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | 6655 (South Carolina) | Primary |
Entity Name | Medical & Surgical Dermatology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619194404 PECOS PAC ID: 8527969039 Enrollment ID: O20040117000064 |
Mailing Address | Practice Location Address |
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Robert L Jetton, MD Po Box 17527, Greenville, SC 29606-8527 Ph: (864) 242-5872 | Robert L Jetton, MD 369 Woodruff Rd, Greenville, SC 29607-3415 Ph: (864) 242-5872 |
Dr. Marshall Jasper Shuler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 Woodruff Rd, Greenville, SC 29607 Phone: 864-233-6338 Fax: 864-235-1982 | |
Dr. Jeremiah Allan Miller Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 Woodruff Rd, Greenville, SC 29607 Phone: 864-233-6338 | |
Joel C Phillips, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-271-7440 Fax: 864-271-6001 | |
Mrs. Frances B Pardue, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 7a Cleveland Ct, Greenville, SC 29607 Phone: 864-351-0345 Fax: 864-351-0360 | |
Courtney Lee Mcfaddin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-271-7440 Fax: 864-271-6001 | |
Megan O'neill Scharf, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 Woodruff Rd, Greenville, SC 29607 Phone: 864-233-6338 Fax: 864-235-1982 | |
John Thomas Kuhl, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 920 Woodruff Rd, Greenville, SC 29607 Phone: 864-233-6338 |