Provider Demographics
NPI:1497917405
Name:ALBORES, JEFFREY GRANDE (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GRANDE
Last Name:ALBORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VINECREST CT # 1000
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-8031
Mailing Address - Country:US
Mailing Address - Phone:864-725-3350
Mailing Address - Fax:864-725-3351
Practice Address - Street 1:105 VINECREST CT # 1000
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-8031
Practice Address - Country:US
Practice Address - Phone:864-725-3350
Practice Address - Fax:864-725-3351
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA118991207R00000X, 207RC0200X, 207RP1001X
SC37847207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine