Denise M Jacques
Adolescent Medicine
200 Patewood Dr Suite A120
Greenville
, South Carolina 29615-3593
Denise M Jacques
Adolescent Medicine
200 Patewood Dr Suite A120
Greenville
, South Carolina 29615-3593
(864) 797-6044
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Denise M Jacques
- 7 Independence Pt Suite 140
- Greenville, SC
- Zip : 29615-4566
- Phone : (864) 797-6044
Second Address
- Denise M Jacques
- 200 Patewood Dr Suite A120
- Greenville, SC
- Zip : 29615-3593
- Phone : (864) 454-2670
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 22187 | SC |
National Provider Identifier
| NPI | 1144289687 |
|---|---|
| Provider Name | Denise M Jacques |
| First Address | Greenville, SC 29615-4566 |
| Second Address | Greenville, SC 29615-3593 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2006 |
| Last Update Date | 05/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 221879 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.