Individual
ROBERT DOUGLAS DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 MEDICAL PKWY, SUITE 200, GREER, SC 29650-2441
(864) 797-9400
(864) 797-9402
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101963
—
SC
01
—
P01034028
RR MEDICARE
SC
Enumeration date
12/06/2005
Last updated
02/02/2018
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