MEDICARE: DR. JENNIFER BABETTE ABRAMS D.O.

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	207P00000X	Emergency Medicine Physician	0680	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	:	1104899210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER BABETTE ABRAMS D.O.

Provider Business Mailing Address
First Line	:	40 PINNACLE PKWY
Second Line	:	BUILDING 100
City	:	ELGIN
State	:	SC
Zip	:	29045-8390
Country	:	US
Telephone Number	:	803-424-5160
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 PINNACLE PKWY
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8390
Country	:	US
Telephone Number	:	803-424-5160
Fax Number	:

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	05/07/2018

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