Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON DEREK HARTLEY, M.D.
Active Sole ProprietorJACKSON DEREK HARTLEY, M.D. is a Internal Medicine healthcare provider located in GREENVILLE, South Carolina. NPI 1104677202 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GREENVILLE, SC
Registration Details
- NPI Number
- 1104677202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2024 (2.3979563785997 yrs)
- Last Updated
- Aug 9, 2024
- License
-
LL92431 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
876 W FARIS RDGREENVILLE, SC, 296054253Browse SC providers · Browse ZIP 29605
- Phone
- 8644555648
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in GREENVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH EUGENE DEL ZOTTO | D.O. | 1457356776 |
| DR. BARRY C BLACKSTON | M.D. | 1316948185 |
| DR. DOUGLAS HASS JONES | MD | 1770576647 |
| CAROLINE DILLARD BROWNLEE | MD | 1003898651 |
| DANIEL AUSTIN GROVER | MD | 1467437921 |
| ANDREW GIBSON MCDONALD | MD | 1699750166 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.