Jerry G Back in North Charleston - Internal Medicine
Jerry G Back - NPI 1821181868
Jerry G Back is a Internal Medicine in North Charleston, South Carolina. Jerry G Back practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry G Back is 1821181868. The last update date is 2022-01-14.
Jerry G Back's current location address is 2845 Tricom St, North Charleston, South Carolina. You can contact this provider via phone number 8438638100 and fax number 8435532122. The mailing address for Jerry G Back is 2845 Tricom St, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry G Back |
|---|---|
| Address | 2845 Tricom St, North Charleston, South Carolina |
| Phone Number | 8438638100 |
| Fax Number | 8435532122 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1821181868 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 2845 Tricom St |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069172 |
| Phone Number | 8438638100 |
| Fax Number | 8435532122 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 30658 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| C495158 | CO | MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jerry G Back by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry G Back has been assigned the NPI (National Provider Identifier) 1821181868. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jerry G Back?
The Jerry G Back is situated at 2845 Tricom St, in the city of North Charleston, state of SC, with the zip code 294069172.
What is Jerry G Back's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry G Back's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Jerry G Back receive the assignment of its 1821181868 from the Centers for Medicare & Medicaid Services?
The Jerry G Back was issued its 1821181868 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the Jerry G Back's details last updated?
The information pertaining to the Jerry G Back, including its address, specialty, and other details, was most recently updated on 2022-01-14.