Jenny Mccallister Riley
Internist Hematology & Oncology
900 Bowman Rd Ste 103
Mt Pleasant
, South Carolina 29464
Jenny Mccallister Riley
Internist Hematology & Oncology
900 Bowman Rd Ste 103
Mt Pleasant
, South Carolina 29464
(843) 724-2440
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About
Features
Specialties
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Jenny Mccallister Riley
- Po Box 751649
- Charlotte, NC
- Zip : 28275-1649
- Fax : (843) 724-2440
- Phone : (843) 789-1620
Second Address
- Jenny Mccallister Riley
- 900 Bowman Rd Ste 103
- Mt Pleasant, SC
- Zip : 29464
- Fax : (843) 881-5012
- Phone : (843) 881-5844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 33673 | SC |
| N | 111NI0900X | Internist | 33673 | SC |
| Y | 207RH0003X | Hematology & Oncology | 33673 | SC |
National Provider Identifier
| NPI | 1043504020 |
|---|---|
| Provider Name | Jenny Mccallister Riley |
| First Address | Charlotte, NC 28275-1649 |
| Second Address | Mt Pleasant, SC 29464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2011 |
| Last Update Date | 26/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 336737 | (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.