Dr. Jeffrey Clark Gersbach
Emergency Physician Sports Medicine Doctor
2645 Burden Creek Rd
Johns Island
, South Carolina 29455-4604
Dr. Jeffrey Clark Gersbach
Emergency Physician Sports Medicine Doctor
2645 Burden Creek Rd
Johns Island
, South Carolina 29455-4604
(843) 225-7749
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About
Features
Specialties
- Sports Medicine Doctor
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Clark Gersbach
- 2645 Burden Creek Rd
- Johns Island, SC
- Zip : 29455-4604
- Fax : (843) 225-7749
- Phone : (843) 559-1958
Second Address
- Dr. Jeffrey Clark Gersbach
- 2645 Burden Creek Rd
- Johns Island, SC
- Zip : 29455-4604
- Fax : (425) 944-8954
- Phone : (843) 224-0880
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Is Dr. Jeffrey Clark Gersbach a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | 021585 | SC |
| Y | 207P00000X | Emergency Physician | 0101042360 | VA |
| N | 207P00000X | Emergency Physician | 14843 | SC |
National Provider Identifier
| NPI | 1548274343 |
|---|---|
| Provider Name | Dr. Jeffrey Clark Gersbach |
| First Address | Johns Island, SC 29455-4604 |
| Second Address | Johns Island, SC 29455-4604 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 27/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010653103 | PRIVATE INSURANCE (01) | SC |
| 010653103003 | BCBS (01) | SC |
| 148432 GP4105 | (05) | SC |
| E41720 | (02) | 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.