Jay E Earles (NPI# 1770632515, PAC ID# 0143553255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1770632515 |
PAC ID by PECOS | 0143553255 |
Professional Enrollment ID | I20190605002328 |
Full Name | Jay E Earles |
Address |
3524 Jefferson Davis Hwy Graniteville SC 29829-3850 |
Gender | M |
Graduation Year | 1994 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3524 Jefferson Davis Hwy, Graniteville, SC 29829-3850 |
Street Address |
3524 JEFFERSON DAVIS HWY |
City | GRANITEVILLE |
State | SC |
Zip | 29829-3850 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa Marie Robertson | Nurse Practitioner | 1 Hickman St, Graniteville, SC 29829-2955 | |
Candace C. Waters | Nurse Practitioner | Aiken Professional Association LLC | 124 Bettis Academy Rd, Graniteville, SC 29829-3107 |
Adam Wesley Bruckner | Family Medicine | Aiken Professional Association LLC | 110 Sasanqua Dr, Graniteville, SC 29829-4136 |
City | GRANITEVILLE |
Zip Code | 29829 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | GRANITEVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jay E Earles.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.