MEDICARE: DR. JEFFREY KENT GIGUERE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	14791	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417952706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY KENT GIGUERE MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	803-434-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 LILA DOYLE DR
Second Line	:
City	:	SENECA
State	:	SC
Zip	:	29672-9495
Country	:	US
Telephone Number	:	864-699-5700
Fax Number	:	864-699-5701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	06/24/2021

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