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NPI Code Detail

MEDICARE: WILLIAM JEFFERY EDENFIELD MD

MEDICARE: WILLIAM JEFFERY EDENFIELD 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
1207RH0003XHematology & Oncology Physician23721SC

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 : 1851396295
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JEFFERY EDENFIELD MD
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 212
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number : 864-797-6303
Fax Number :
Provider Business Practice Location Address
First Line : 900 W FARIS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4255
Country : US
Telephone Number : 864-679-3900
Fax Number : 864-679-3901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 05/20/2021

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Directions to “ WILLIAM JEFFERY EDENFIELD MD” Practice Location

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