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NPI Code Detail

MEDICARE: JEFFREY MICHAEL PAULSEN M.D.

MEDICARE: JEFFREY MICHAEL PAULSEN M.D.
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
1207RC0000XCardiovascular Disease Physician88142SC

Other Identifiers

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

General Provider Information

NPI Number : 1609042431
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY MICHAEL PAULSEN M.D.
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 888-472-0043
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 1033 SAINT ANDREWS BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-7156
Country : US
Telephone Number : 843-723-6111
Fax Number : 843-727-2973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2008
Last Update Date : 04/07/2026

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