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NPI 1780749820 · live from the CMS NPI Registry

Jonathan Lee Gleason, MD

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Greenville, SC. National Provider Identifier 1780749820, active.

NPI record

NPI1780749820 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery 207VF0040X
Practice location101 Halton Village Cir, Greenville, SC 29607
Practice phone864-455-1600
Mailing address300 E Mcbee Ave Fl 4, Greenville, SC 29601
EnumeratedDecember 27, 2006
Last updatedMay 11, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology207V00000XMT186681 (PA)
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery207VF0040X0101251665 (VA)
Obstetrics & Gynecology, Gynecology207VG0400X29368 (AL)
Obstetrics & Gynecology, Gynecology207VG0400X0101251665 (VA)
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery primary207VF0040X88740 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.