Jacqueline Joyce Peebles Granger
M.D. | Pediatric Emergency Medicine | Female
Jacqueline Joyce Peebles Granger, M.D. is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Jacqueline Joyce Peebles Granger is
701 Grove Rd, Greenville, South Carolina - 29605-4210. She can be contacted on phone at
864-455-7899 and fax number 864-455-5474.
Jacqueline Joyce Peebles Granger is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline Joyce Peebles Granger is
1457438368 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 27 Sep, 2022.
Jacqueline Joyce Peebles Granger license number is
27145 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in South Carolina.
Jacqueline Joyce Peebles Granger has special qualifications to manage emergencies in infants and children.
Complete Profile:
Jacqueline Joyce Peebles Granger basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
|---|
| Provider Name : | Jacqueline Joyce Peebles Granger |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Jacqueline Joyce Peebles Granger address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 701 Grove Rd
Greenville, SC, 29605-4210
United States |
|---|
| Phone Number : | 864-455-7899 |
|---|
| Fax Number : | 864-455-5474 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457438368 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 Nov, 2006 |
|---|
| Last Updated On : | 27 Sep, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Joyce Peebles Granger are as mentioned. Primary taxonomy code for Jacqueline Joyce Peebles Granger, M.D. is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 27145 | SC |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | 27145 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Jacqueline Joyce Peebles Granger such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 271459 | MEDICAID | SC | |
| AA5521 | MEDICARE PIN | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
|---|
| Phone Number : | 864-522-8603 |
|---|
Business Location:
Patients can refer following map for directions to
Jacqueline Joyce Peebles Granger practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.