Jessica Demarest Wharton
Child Neurologist
200 Patewood Dr Ste A350
Greenville
, South Carolina 29615-3547
Jessica Demarest Wharton
Child Neurologist
200 Patewood Dr Ste A350
Greenville
, South Carolina 29615-3547
(864) 522-8603
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Jessica Demarest Wharton
- 300 E Mcbee Ave Fl 4
- Greenville, SC
- Zip : 29601-2842
- Phone : (864) 522-8603
Second Address
- Jessica Demarest Wharton
- 200 Patewood Dr Ste A350
- Greenville, SC
- Zip : 29615-3547
- Fax : (864) 241-9206
- Phone : (864) 454-5110
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2084N0402X | Child Neurologist | 60895 | TN |
| Y | 2084N0402X | Child Neurologist | 86660 | SC |
National Provider Identifier
| NPI | 1104212653 |
|---|---|
| Provider Name | Jessica Demarest Wharton |
| First Address | Greenville, SC 29601-2842 |
| Second Address | Greenville, SC 29615-3547 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2015 |
| Last Update Date | 13/09/2021 |
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.